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Representation request ...

Dear friend, in order to apply to be a sales agent for the products of Mahia Panjere Company, please complete and send the following form.

Individual profile

first name and last name :

father's name :

National Code :

Date of birth :

Level of education:

Field of Study :

Description of work history and duration of each activity:

Career profile

Name of the company/business:

Date of registration / license:

Place of registration / license:

Issue date :

Place of Issue :

validity duration :

Company ownership / acquisition:

Phone :

fax :

Company/business email:

Company website address:

The state of the place of work

Type of ownership:

Postal code :

Complete postal address:

What kind of guarantee can you provide in case of getting a sales representative?

What is your forecast of your monthly sales?

If you have a sales representative from other companies, please explain the name and duration of activity in the following section:

Contacts

Landline phone :

Cellular phone :

home address :