APPLICATION FORM

BUSINESS CREDIT FACILITY


  Company Name
Commercial Registeration No
  Type of Activity
In Business Since
Legal Form Under Which Business Operates
  Tel.No
+973
Fax No
+973
Email Address
www.
  Address
Building No
Street Name
Street No
Block No
PO Box No
 Area/City
Country
Note All information in section1 must be similar to the information in the commercial registration. Use(0) in applicable fields
Upload commercial Registration

Owner 1 Remove
  Full Name
Position:
Local Identity Number
  Mob.No
+973
Nationality
Email Address
Upload ID card.Owner

AP1 Remove
  Full Name
Position:
Local Identity Number
  Mob.No
+973
Nationality
Email
Upload ID card.AP1

APPO 1 Remove
  Full Name
Position:
Local Identity Number
  Mob.No
+973
Email
Upload ID card.APPO
Upload Specimen Sign.APPO

Bank 1 Remove
  Bank Name
IBAN No.
Account Type
Last 3 month statements

Ref 1 Remove
  Company Name
Commercial Registration No.
  Tel.No
+973
Fax No
+973
Email Address
www.
  Contact Person
Account Opened in
Credit Facilities
Credit Limit(BHD)
Credit Balance(BHD)

We declare that the above informations are true, correct and complete, and is given to induce FUTURE TECHNOLOGY to extend credit. We authorize FUTURE TECHNOLOGY to make such credit investigation as FUTURE TECHNOLOGY sees fit, including contacting the above trade references and banks. We authorize all trade references and banks to disclose to FUTURE TECHNOLOGY any and all information concerning the financial and credit history of my company

  Owner / Authorized Person Name
Position
Local Identity Number
  Mob.No
+973
Email
Upload ID Card.Declare
Upload Signature.Declare

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