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Company name*

Branch*

Emirates Trade License Issued From*

Address*

P.O Box*

Email Address*

Preffered communication of language*

English Arabic

Contact Number

Office Telephone*

Mobile Number*

Fax

Company trade license No*

Tax Registration No*

Message

VAT classification*

Company Type*

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Business owner

Business owner Name*

Emirates ID

Partnership (%)

Note:Ownership percentage must add up to 100.

License Details

License

License Category*

License No*

Bank Details

Bank Name*

Bank Address*

Account Number*

IBAN*

SWIFT/BIC

PRO Contact

First Name*

Last Name*

Mobile*

Email*

Security Manager

First Name*

Last Name*

Mobile*

Email*

Finance Personnel

Designation*

First Name*

Last Name*

Mobile*

Email*

Company Coordinator

First Name*

Last Name*

Mobile*

Email*

Attachments

Document*

Expiry Date*

Note : "All the files uploaded should be in a pdf format and size less than 700 KB"

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