Companies Registration Committee Registration Questionnaire Form

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Company Name

Scope & specialization of the company

Number of years of experience in the same field

Name of Manufacturer/Partner

Nationality

Type of licensing activity (Professional / Commercial)

Trade License Number

Validity date of trade license

Chamber of Commerce Membership Number

Tax Payment Registration Number

Name of Miraam Authorized Company

Name of the delegate authorized to sign

The number of the identity

Fax number

phone number

Mobile Number

Website URL

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Bank Account Number

Bank Name + Agency if possible

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Commercial license file

Click or drag a file to this area to upload.

Upload the questionnaire file

Click or drag a file to this area to upload.

The questionnaire file can be downloaded from the website