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Credit Application Form

APPLICATION FOR NEW CREDIT ACCOUNT

UG Sales Representative's Name*:

Credit Amount Required *:

Credit Period Required *:

Business Information

Business Name *:

Name of GM/MD/CEO *:

Telephone Number*:

Mobile Number *:

Date Established MM/DD/YYYY *:

Anticipated Monthly Charge Amt *:

Nature of Business*:

Trade License Number*:

Type of Business
 Corporation/LLC Government Sole Proprietor Free Zone Company

Yearly Turnover (Currency)*:

Business Address

Building’s Name*:

Occupancy Status*: Own Rent

Address1*:

City *:

Zip/Postal Code*:

Address 2*:

Telephone Number*:

Fax Number*:

Website *: