DISTRIBUTOR / DEALER DATA FORM

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DISTRIBUTOR / DEALER DATA FORM
( for Industrial / Specialty & Automotive Lubricants )
Name of the company:
Address office:
City: Pin: State:
Phone numbers:
STD code no:
E-mail:
Type of company: Proptietor Partnership Pvt. ltd.
Other
Nature of business:
Year of incorporation:
Area of operation/towns:
Details of products
dealing in at present:
Oilzone FZE
P.O Box No.: 67337, Sharjah, UAE Tel No.: +971 (6) 5773332 Fax No.: +971 (6) 5773233
motorol@oilzone.ae

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Bank reference:
Name:
Branch:
A/C no.:
Address:
Bank contact:
Telephone number:
Name of the partneres
& share in business:
ORGANISATION DETAILS
No. of sales staff:
No. of office staff:
No. of establishment
offices & locations
with address:
Go down capacity: (sqft)
No. of go downs &
location with address:
We are willing to invest: (USD)
Contact of person in charge
designation and telephone no:
We certify that the information given above is true and correct.
Name of the proprietor / Partner:
Signature
Oilzone FZE
P.O Box No.: 67337, Sharjah, UAE Tel No.: +971 (6) 5773332 Fax No.: +971 (6) 5773233
motorol@oilzone.ae