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DISTRIBUTOR / DEALER DATA FORM

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- 2 -<br />

Bank reference:<br />

Name:<br />

Branch:<br />

A/C no.:<br />

Address:<br />

Bank contact:<br />

Telephone number:<br />

Name of the partneres<br />

& share in business:<br />

ORGANISATION DETAILS<br />

No. of sales staff:<br />

No. of office staff:<br />

No. of establishment<br />

offices & locations<br />

with address:<br />

Go down capacity: (sqft)<br />

No. of go downs &<br />

location with address:<br />

We are willing to invest: (USD)<br />

Contact of person in charge<br />

designation and telephone no:<br />

We certify that the information given above is true and correct.<br />

Name of the proprietor / Partner:<br />

Signature<br />

Oilzone FZE<br />

P.O Box No.: 67337, Sharjah, UAE Tel No.: +971 (6) 5773332 Fax No.: +971 (6) 5773233<br />

motorol@oilzone.ae

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