CNAP-Main Application-Signed (1) (1) (1) (1) - Page-0001

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Main application form ® BUSINESS Grew Ocanceliation Ochange of address Required documents Copy of Trade Licence Fcopy of establishment card —- GP Passport/Visa copy OLetter of Authorisation Typeyourten ‘Customer information Company name: GHUALM VASEEN DOCUMENTS Gi. EARING SERVICESEST company accourt number (fagolcatle) Trade Licence number: _1315401. ‘Trade Licence expiry date. 28 02 J 2025 Exteblichment card number; __2/102230 Establishment card exery date: J i us f 2025 Parentcompany (appeate: vovprare (Gl Hu] AM YAS ee NK A RMB lala] ‘ary fo corm tlchrae nda open Gta goto nes cnedor fica UAC Geir. triomarendereaeesndaporesx dra nuae cas “Nature of business O Banking or banking services O Real estace services: O Edbeational services: O Retail services O Gov. institutions services OC) Tourtsm services O sesth services cxhers CLEARING SERVICES Number of emoloyees O10 or less: O20 One O 100 or more: Company address (physical address) “*Floorioffice number: _Office 104 Ist floor Bulking name/number; al bakhit center Plot number (F available): *p.0.000 242731 EEmirece:__Dubal covrery: Dubai Nearest andar COidackres (nese oF erecs change: Billing address MR cnuam YASEEN karin BAKHSH a and madera amy ire Job title: Over Office/ousiness telephone number: 0503090798 ‘Mobile number: _ 0503099798, Email adcress:__yasen.malik392@gmail.com Fax number: P.0,80% 242731 Emvace Dubai ‘Country: __Dubal Authorised signatory MR Huan YASEEN aR BakHsit “ibe: _Ovmer CfFefbucnae tlaphone nber_0503095708 Mobi umber,_ 0503080798 malavkrece:__ yasen malk362 gmailcom Fax umber Technical contact IiinteoteerIT rte (eer krain an aed un chu YaSEEN KARIM BAKHSH Job tie:_ Omer CrFcebusnens nlephone nnber__0503080708 Mobile number, 0508008708 Emaladerecs:_yasen malis92@gral.com Feonarbon We're here to help. callus on 200188 Payment method O cash — creme O Bank Trancter © creditcard Billing information Bil delvery: Oereiony Gemai adhed copy Emel: _Yaserumalik392@gmal.com Language: SF engish Onrtic Agreement ‘Well usethe above information to contact you via eal, phone or SMS. F you dont wish to be contacted about our procucts or special promtions, bekhere O | agree by signing below that Ihave the autheity to sign on beh of the narned eusterner that fvecrderedthe senices inceated inthis form and that | accepe the Terms and Condclons as sopulaced in che sUbsaquert pages of his apalicadan form, take ul responsioiy fr the use ofa du services. providedta us. “customer signature: _ Ces = 24/08 12024 Date For official use only sevckonennbe( TTT TEI ITED) eemonte( TTT O For retail oma neers saad O For indirectidirect sales: AccountPartnar Manager nama: Mohammed ShanRezoune/Parsner Manager IO: _ 3559 Porta name: TELBWZ COMMUNICATION. Perner(Dealr i: INDTCOM Sales Bxecikhve name: Malas number: Ssles Support Agentname:

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