Business Credit application

Company Information

Comapny Name *

Part Of Group

Bldg Name/No

Floor

Office No

Street Name

Nearest Landmark

Area

Telephone *

Emirate

Country

Mobile *

Email *

Website

P.O.Box

Emirate P.O.Box

Trade License No

Expiry Date *

VAT Registration No

Establishment Date

Yearly Turnover *

Total No Of Branches *

Company Legal Type

Partnership

Sole Partnership

LLC

Private Shareholding

Public Shareholding

Goverment

Attachments *

Please Attach Trade License, MOA, VAT Certificate And Power Of Attorney If Applicable

If Subsidiary, Parent Company

If your company is subsidiary check the box

Shareholder/Partner Detail 1 *

Shareholder/Partner Detail 2

Shareholder/Partner Detail 3

Attachments *

Please Attach Emirates ID & Passport For Shareholders, General Manager & Cheque Signatories

Bank Reference 1

Bank References

Attachment *

Please Attach Last 3 Months Bank Statement

Trade References 3

Trade References 2

Trade References 3

Authorized Person To Sign LPO 1 *

Authorized Person To Sign LPO 2 Email

Authorized Person To Sign LPO 3

Attachment 1 *

Please Attach Sample Signatures Of Each Person

Attachment 2

Please Attach Sample Signatures Of Each Person

Attachments

Please Attach Sample Signatures Of Each Person

Finance Department For Payment Collection 1

Finance Department For Payment Collection 2

Finance Department For Payment Collection 3

Credit facility Requested

Estimated Monthly Purchases

Payment Terms By Days

Payment Method *

PDC On Delivery

Bank Transfer

Credit Card

Online Payment

Cash

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Separate email addresses with a comma.

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الخطوة - ١ التجهيز

​ الخطوة - ٢ الحماية

الخطوة - ٣ الصيانة

فئات المنتجات

Business Credit application

Company Information

الخطوة - ٢ الحماية