Fuel24 | Credit Application Form

Company Management information

CEO Details:

CEO Name:

CEO Email:

CEO Mobile:

CEO Phone:

Finance Manager:

Accounting Manager Name:

Email:

Mobile:

Phone:

Account Payables Manager:

Account Payables Manager Name:

Email:

Mobile:

Phone:

Banking references :

Company Main Bank Name:

Company bank Account Number:

Company bank Responsible officer Name:

Bank email to send copy of invoices:

Responsible officer Phone:

Responsible officer email:

Responsible officer Fax:

Responsible officer Mobile:

Can we contact your bank for verifying your company: Yes No

Can we copy your bank with all your invoices: Yes No

Applicant ( if the applicant is none of above personnel):

Applicant Name:

Applicant Position:

Applicant Phone:

Applicant Email:

Applicant mobile:

Please attach authorization letter signed and stamped by your company to open an account with suppliers:

Upload a file

Please attach Company Registration:

Upload a file

Please attach Corporation Certificate:

Upload a file

Please attach Any other important file:

Upload a file

Business references

Reference1:

Company Name:

Person Name:

Phone:

Email:

Approved Credit limit:

Reference2:

Company Name:

Person Name:

Phone:

Email:

Approved Credit limit:

Reference3:

Company Name:

Person Name:

Phone:

Email:

Approved Credit limit:

Credit Application Form

Company Management information

CEO Details:

Finance Manager:

Account Payables Manager:

Banking references :

Applicant ( if the applicant is none of above personnel):

Business references

Reference1:

Reference2:

Reference3:

Fule24 Terms and Conditions:

Agree Fule24 credit Terms and conditions

Agree Fule24 confidential Agreement terms