create_customer | My Website

Send a Customer Registration Application

customer Info

Company Name *

Address

Email *

Customer Type *

Industry *

PO.Box

Postal Code

Region

Telephone No

Cell Phone No

Vat Registration Number

GOSI Registration Number

Commercial Registration Number

Applicant Info:

Applicant Name

Title

Job Position

Email Address

User Name *

Password *

Confirm Password *

Document Attachment Checklist

رخصة قيادة you can upload more than file.

GOSi Registration Certificate you can upload more than file.