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DEALER INFORMATION

Company:
Address:
Tel. No.:

Main Product/s and Services: Number of Manpower:


Sales
Technical

Others:

Main Contact Person:


SALES Name: TECHNICAL Name:
Email: Email:
Contact No.: Contact No.:

List of Completed Projects related to Radio Communication (Latest 3 years)


Date Customer Project Description

Legal Requirements:
1. Business Permit
2. DTI/SEC
3. Radio Dealer Permit
4. Sample S.I annd O.R.

Prepared By:

Name and Signature

Position

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