DEALERS REGISTRATION FORM

Name of Firm

Name of Chief Executive

Mailing Address
Street Address
City

Photo of the Chief Executive

Mobile Number

Office Phone

Email

Excise and Taxation Registration Certificate (Attach Photocopy)

Taxpayer Registration Certificate / NTN issued by FBR (Attach Photocopy)

Name of Bankers / Account Number

Registered with other Societies i.e DHA, Bahria Town, Citi Housing, etc

Year of Establishment

Particular of the Chief Executive:

CNIC No

Qualification

Residential Address

Telephones
Residential
Mobile

Particulars of Representatives:

Name Designation CNIC No

Name Designation CNIC No

Name Designation CNIC No

Name Designation CNIC No