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Application Form For Exclusive Distributor / Sub-Distributor

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ISSAM
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46 views1 page

Application Form For Exclusive Distributor / Sub-Distributor

Uploaded by

ISSAM
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM FOR EXCLUSIVE DISTRIBUTOR / SUB-DISTRIBUTOR

Further to the processing of Applicants worldwide to be the exclusive distributor / sub-distributors which you have to fill up Non
Disclosure Agreement (NDA) and Application form, also send enclose with the additional document such as the Company
Registration Certificate, your Company Profile and your copy passport so you have to complete document either by fax or email
otherwise we will not send to submission due to your document have not completed.

1. Company Name: .

Address: . .

Office: . Tel: Fax: .

Factory: Tel: Fax: .

Email: .

Website: .

2. Established: (Year). Exporting from: (Year) .


3. Registered capital: .
4. Company Registered No. . Registered Date: .
5. Share holder: person(s). Capacity per Year:
6. Authorized director:
a) Name: Position: .

b) Name: Position: .

7. Number of employee:
8. Business type: Product or Service:
9. Main Market:

Year Product Sale value Markets

10. Which country requested to be the distributor: .

11. We would be confirmed for all state of company’s information must be strictly confidential and it will be usable for the
distributorship only.

Signature/Stamp: …………………………………………..

( )

FR01-045 Rev.03

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