Business Name : | Phone # : | ||
Owner First Name : | Cell # : | ||
Owner Last Name : | Email : | ||
Sales Contact Name : | Website : | ||
Account Contact Name : | |||
Business Address : | |||
City : | |||
Business Information (Products & Services Offering) : | |||
Year Started : | No. of employees : | ||
Annual Turnover (Pak Rs.) : | |||
Banker : | Branch Name : | ||
Sales Reference 1 : | Contact # : | ||
Sales Reference 2 : | Contact # : | ||
CONFIDENTIALITY STATEMENTThis application, and any information pertaining to it, is confidential and shall not be passed to any third party, without the express permission of the applicant. DECLARATION
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Signature Name : | Date : | ||