Credit Account Application (AR/EN) – Fillable + Upload

Credit Account Application

Fillable + file upload (CR & VAT certificate)

Language: EN

Credit Account application (p1)

All fields from your images + attachments upload.

Credit Account application (p1)
نموذج طلب فتح حساب بالأجل (ص 1)
Official Customer Name As per CR
Customer Trade name (as per signboard)
City
Region
Street
District
Building No
Market
FAX
Mobile
Tel
No
Place of issue
Date of issue
Date of Expiry
No
Place of issue
Date of issue
Date of Expiry
Owner details
بيانات المالك
Owner name
Owner ID Date (attach copy)
Place of issue
Expiry Date
No
Date of issue
Mobile
Tel
Authorized to sign purchase order and receipt
المفوضون بتوقيع الشراء واستلام البضاعة
Name
Mobile
No
Place of issue
Expiry date
Signature (for print)
Name
Mobile
No
Place of issue
Expiry date
Signature (for print)
Attachments
المرفقات
Allowed: PDF / JPG / PNG. Max size depends on your server script.
Allowed: PDF / JPG / PNG. Max size depends on your server script.
Note: Because files are included, the form uses enctype="multipart/form-data" with method="POST" [web:35].
Required fields must be filled before submit.