General Information Company / Organization Name: National Number: Tax Identification Number: Establishment Date: Business Activity: Contact and Address Information Full Address: Landline Number: Email Address: Authorized Contact Person: Mobile Number: Financial Information Tax Status: TaxableTax Exempt Payment Method: CashBank TransferChequeCredit Requested Credit Limit: Requested Credit Period (days): 306090120 Estimated Monthly Purchase Volume: Attachments Commercial Registration: Profession License: Tax Exemption Letter / Tax Certificate: Full Name of Applicant: Position / Title: