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Customer Information Form

ID Type
ID Number
Company Name (English)
Compnay Name (Arabic)
VAT Number
CCI Number
Branch Name
Salesman Name

Address Details

Short Address
Building Number
Additional Number
Unit Number
Street (English)
Street (Arabic)
District (English)
District (Arabic)
City (English)
City (Arabic)
Region (English)
Region (Arabic)
Country (English)
Country (Arabic)
Postal Code
P.O. Box

Contact Details

Name
Designation
Mobile Number
Email

Credit Details

Requested Credit Amount
Requested Credit Period (Days)

Documents

C.R. Certificate
VAT Certificate
National Address Certificate