Agency Form

Company/Store Profile

Company/Store Name:
Date of establishment: Example: 2011-10-10
The main areas of activity:
Number of partners:
Registration Number/business license:
Location Register:

Profile of Manager

Name:
Father Name:
Date of birth: Example: 1980-10-10

Company/Store Address

Province:
City:
Address:
Zip code:
Tel:
Fax:
Mobile manager:
E-Mail:
Type of property: Rent Goodwill Personal
Property Status: Commercial Administrative Residential
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