Sheet 1: Company registration form

	
	
	
	
	
	
	

		
eECD Subscription Order form  to eECD data sharing platform of NxtPort - Template
		


		


		
This eECD Subscription Order form is required to have at hand when you register your company  on the NxtPort platform
		


		


		


		


		


		


		


		


	
	

		
eECD partipating Organization or Company - Organization details (*1)
		
Example - Organization on the eECD platform - Main Co location
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		
(*1) Definition of an organization within the eECD application and data sharing platform
		


		


		


		


		


		


		


		


	
	

		
Company Name:
		
CleanCo1
		


		


		
An eECD licence is set up for an organization that represents a company (legal entity, division …) and participates in the  eECD process
		


		


		


		


		


		


		


		


	
	

		
Company Legal form:
		
BVBA
		


		


		
In  case your organization has different subsidiaries, it's recommended to choose an eECD lcence at group entity or corporate level. 
		


		


		


		


		


		


		


		


	
	

		
Street, streetnr: 
		
cleaninglaan 1
		


		


		
An eECD licence is valid for the entire organization. The data, managed within the organization, are shared across subsidiaries of that same organization
		


		


		


		


		


		


		


		


	
	

		
Zip:
		
B-2000
		


		


		
An organization has a unique reference number identifying your company on the platform and is defined by the VAT - EORI or DUNS number. 
		


		


		


		


		


		


		


		


	
	

		
City:
		
Antwerpen
		


		


		


		


		


		


		


		


		


		


		


	
	

		
Country:
		
Belgium
		


		


		
(*2) Definition of the eECD organizational roles witin an organization
		


		


		


		


		


		


		


		


	
	

		
Phone 
		
+32 3 444 567
		


		


		

 
		
		
	

		

		Peter Devos:
This is the unique number to define your organization on the platform
		unique organization/company reference number (min one of the 2 options)
		


		


		


		
	

		

		Peter Devos:
This is the unique number to define your organization on the platform
		VAT number (or EORI number)
		
BE 0000.000.222
		


		


		
	

		

		A unique DUNS nummer is recommended when you want to integrate the dgital eECD process. DUNS nr can be added later on.

		DUNS number
		


		


		


		
	

		
Is your Company a member of ECTA, essenscia, Cefic, EFTCO, other?
		
EFTCO
		


		


		
	

		
Licence holder and Company billing Details
		
example - invoice contact details
		


		


		
	

		


		


		


		


		
	

		
eECD Licence Holder First name 
		
Johnson
		


		


		
	

		
eECD Licence Holder Last name
		
Robinson
		


		


		
	

		
eECD Licence holder phone nr
		
+ 31123456125
		


		


		
	

		
Licence holder email address
		
JR@skymail.net
		


		


		
	

		


		


		


		


		
	

		
Bill TO: Company Name:
		
CleanCo1
		


		


		
	

		
Company Legal form:
		
BVBA
		


		


		
	

		
VAT number:
		
BE 0000.000.222
		


		


		
	

		
Bill to adrress, Street, streetnr: 
		
cleaninglaan 1
		


		


		
	

		
Zip:
		
B-2000
		


		


		
	

		
City:
		
Antwerpen
		


		


		
	

		
Country:
		
Belgium
		


		


		
	

		


		


		


		


		
	

		


		


		


		


		
	

		
eECD Licence details (*2)
		
standard licence is 1 year
		


		


		
	

		


		


		


		


		
	

		
eECD Organization Role 1 - Licence type (select from drop down)
		
eECD - Cleaner
		


		


		
	

		
eECD Organization Role 2 - Licence type (select from drop down)
		


		


		


		
	

		

		How many paper ECD's are you today handling on an annual basis within your organizational defined group.

		Licence Size for this organizational role 1 & 2  (select from drop down)
		
Large >15000  and <= 30000 paper ECD's
		


		


		
	

		


		


		


		


		
	

		
Organization Role 3 - Licence type (select from drop down)
		


		


		


		
	

		

		How many paper ECD's are you today handling on an annual basis within your organizational defined group.

		Licence Size for this organizational role 3 (select from drop down)
		


		


		


		
	

		
eECD ADMIN User account Registration (*3)
		
example
		


		


		
	

		
eECD admin User First Name:
		
First Name
		


		


		
	

		
eECD admin User Last Name:
		
Last Name
		


		


		
(*3) User Profiles
		


		


		


		


		


		


		


		


	
	

		
eECD admin User email:
		
firstname.lastname@company.com
		


		


		
eECD admin User 
		


		
Is the system administrator who defines the different User profiles (master data manager, operator, …) within each organization
		


		


		


		


		


		


	
	

		
eECD Admin User phone contact details
		
+ 31123456125
		


		


		
eECD Licence holder
		


		
is managing the company account and licences. Can be the same as the administrator in smaller organizations
		


		


		


		


		


		


	
	

		
eECD invoice or licence subscription remarks
		
notes
		


		


		


		


		


		


		


		


		


		


		


	
	

		
Invoice remarks: e.g. Please add PO ref nr here if applicable
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Licence remarks: please add any special remarks to your eECD licence
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Note about eECD integration support services when a company/IT vendor wants to integrate the digital eECD process directly within their system(s)
		
To integrate the digital eECD process steps using the eECD REST API's
		


		


		


		


		


		


		


		


		


		


		


	
	

		
NOTE. To further automate and integrate the digital eECD process within existing IT systems, the basic set of eECD API integration information and documentation is provided for free via the NxtPort website and is accessible after your eECD licence is approved ECLIC. In case, for any reason, a company or an IT software vendor has extra API integration questions, needs extra IT support, want to launch IT tickets to NxtPort or wants to talk to a NxtPort support person to get company specific eECD API integration support, such personal eECD API support package is available and can be provided by NxtPort with a pre-agreed tariff of 800€ (excl VAT) per manday. Each vendor can decide on their own if they need this extra IT API service support package or not. 


		
The final decision to work with the digital eECD process in a more integrated and automated way can be easily made after your eECD subscription.