Office 4301, 43rd Floor, Mazaya Business Avenue - BB2
JLT, Sheikh Zayed Road, P.O.Box 99580 Dubai – UAE
www.starlinkme.net
CONFIDENTIAL CREDIT APPLICATION
Company Name (in full): Established in:
Billing Address (in full):
Telephone No.: Fax No.:
Email: Website:
Trade Licence/Commercial Regn. No.: Date of Issue: Expiry Date:
(Copy to be attached)
Please tick any one of the following:
Corporation Limited Co. Partnership Sole Proprietorship
Name of Local Sponsor: _________________________________
Name(s) of Proprietor/Partners/Shareholders:
(Passport Copies to be attached) Nationality
Purchasing Contact: Accounts Payable Contact:
Name: ………………………………………………………………………
Name: ………………………………………………………………………
Title: ……………………………………………………………………… Title: ………………………………………………………………………
Telephone No.: ……………………………………………………………Telephone No.: ……………………………………………………………
Email: ………………………………………………………………………Email: ………………………………………………………………………
Fax: …………………………………………………………………………
Fax: …………………………………………………………………………
Name and address of sister or associated companies in/outside of your country
1.
How would you classify your business:
□ Value added reseller □ Retail outlet □ IT Reseller □ Service Provider □ Consultant
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Office 4301, 43rd Floor, Mazaya Business Avenue - BB2
JLT, Sheikh Zayed Road, P.O.Box 99580 Dubai – UAE
www.starlinkme.net
Credit Details
Credit Limit Requested (Limit approval subject to Starlink Management)
Payment Undertaking We undertake to settle your invoices as per the credit terms offered to our company by Starlink
In the event of non-payment of overdue invoices, we understand and agree that our account will be put on credit - hold and no
orders will be processed for shipment. If the overdues are not paid even after the final notice.
Starlink Group holds the right for legal case in Dubai Court for unpaid invoice. Starlink Group reserves the right to stop
supplying the Products to the Buyer at any time and withdraw any credit facility provided to the Buyer.
Particulars & Specimen signature of personnel authorised to sign purchase orders
Name Designation Signature
Power of Attorney I/We_______________________________________________________________________
the Sponsor/Partners/Directors/Owner/s of____________________________________________________________________
hereby request for a credit facility and give the power of attorney, to above authorised personnel whose names, designations and signatures
are given thereof, to act on behalf of my/our Company.
Primary Suppliers or Trade References
This is my / our authorisation to release information to Starlink for the purpose of supporting the Credit Application.
Trade References(provide one international trade reference if applicable)
1. Name of Supplier …………………………………………………………
Type of Business ……………………………………………
Address: Country…………………
Contact Person ……………………. Tel. No……………………………….
Fax No…………………………………………
E-mail………………………………
Payment Terms………………………………………………………………
2. Name of Supplier …………………………………………………………
Type of Business ……………………………………………
Address: Country…………………
Contact Person ……………………. Tel. No……………………………….
Fax No…………………………………………
E-mail……………………………….
Payment Terms………………………………………………………………
3. Name of Supplier …………………………………………………………
Type of Business ……………………………………………
Address: Country…………………
Contact Person ……………………. Tel. No……………………………….
Fax No…………………………………………
E-mail………………………………
Payment Terms………………………………………………………………
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Office 4301, 43rd Floor, Mazaya Business Avenue - BB2
JLT, Sheikh Zayed Road, P.O.Box 99580 Dubai – UAE
www.starlinkme.net
Bank Reference
1. Account Name Account No.
Banker's Name, Address, Tel & Fax No.s
2. Account Name Account No.
Banker's Name, Address, Tel & Fax No.s
We understand and here by agree to abide by the Terms and Conditions attached of Starlink Group.
Company Stamp Name(s) Signature(s) & Date
Documents Required:
1. Trade licence copy/Commercial Regn. Certificate
4.Latest Audited Fianancials
For Starlink Credit Dept. Use Only
Approved Reference Checked Credit Controller
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