Credit Application Form for Agents Only

HasadOmnnea offers credit to its eligible customers. The credit amount will be based on the evaluation of this form.

    Agent Company Information

    Work Address


    Agent Company Owner Information

    Home Address


    Business Questions
























    Guarantee Questions

    1. How much is the credit limit (revolving) required to deal with the company? Iraqi Dinar

    Note that the amount to be paid for each order is not less than % of the invoice value and the payment period does not exceed 30 days from the date of each invoice.

    Note: The above paragraph may be modified based on the duration of the transaction, the strength and commitment of the agent and his marketing of the product in an additional contract annex.




    Name

    Relationship

    Phone

    Chamber of Commerce ID number

    Governorate


    Partner Information

    If you have partners, please fill in the following information:

    Partner's name

    Partnership percentage (%)

    Additional information about partners:


    Partner 1:


    Home Address


    Partner 2:


    Home Address


    Referees' information

    Please provide at least three references:

    Name

    Relationship

    Phone