Ma. Favourite | Chaandhanee Magu | Male 20194 | Tel:331 6116, 331 5115 | Fax:332 3383 , 3312068 | E-mail : [email protected]

CUSTOMER REGISTRATION FORM

CUSTOMER INFORMATION

Outlet Name : Atoll :

Company Name : Island :

Building Name : GST No :

Street : Mobile :

E- Mail Address : Tel No :

Fax No :

ACCOUNTING & PURCHASING

Contact Person (1) : Contact No :

E- Mail Address : Designation :

Contact Person (2) : Contact No :

E- Mail Address : Designation :

Method of Payment : Cash Cheque

BUSINESS TYPE (pls tick one)

Café Restaurant Hotel / Resort Resort Tuck Shop Pharmacy

Safari Resort Guest Shop Sports Club Retail / Shop Super Market

Office Individual Whole Seller Island Distributor Others pls specify

Outlet fitted with AC : Yes No

OWNER INFORMATION

Full Name :

Permanent Address :

Street : Atoll & Island : Corresponding address : (if different from above) Street : Atoll & Island : ID / PP & REG No : Nationality : Tel : Mobile : Fax: :

I/we, hereby declare that all the information given in this form are correct

Name : Date :

Signature : Official Stamp :

Please attach copies of: 1. Owner ID copy 2. Business Registration Copy 3. GST Registration copy 4.Trade Permit Forms will be processed within 1 working day and Euro Marketing reserves the right to reject forms with incomplete or false information Form No :

Euro Marketing office use only

Customer Number : Authorised Signature :

Credit Limit (Mrf) : Authorised by :

Credit Period (days) : Date :

Remarks:

Customer Introduced By : Date :

Customer Created By : Date :

Customer Allocated To : Euro Store Branch

: Market Developer (name / sign)

: Sales Dept (name / sign)

Atoll

1 (AA) 6 Gaaf Alifu Atoll (GA) 11 (K) 16 (R)

2 (Adh) 7 Gaaf (GDh) 12 (L) 17 Seenu Atoll (S)

3 (B) 8 (Gn 13 (Lh) 18 (Sh)

4 Dhaalu Atoll (Dh) 9 (HA) 14 (M) 19 Thaa Atoll (Th)

5 (F) # (HDh) 15 (N) 20 (V)