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Agency form
Individual information:
Individual information
*
Name
Last name
Father name
*
National code
*
Marital Status
*
Married
Single
Date of birth
*
Place of birth
*
Degree of education
*
Email
*
sample@Sample.com
Mobile No.
*
Address
*
Post code
Store's name
*
Guild Group
Area in Mᵔ2
*
Please enter a number from
0
to
99999999
.
Kind of application
*
Official
Commercial
Date of Establishment
Date Format: YYYY slash MM slash DD
Resume
How many years have you been in this guild?
less than 5 years
between 5 to 10 years
more than 10 years
Select your working group
*
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Motorcycle Shop
Motorcycle Repair Shop
Motorcycle Parts Store
Average annual sales
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0
to
1.0E+20
.
Passport photo
Accepted file types: jpg.
Photographs of class documents
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Accepted file types: jpg.
address
No.25, 18 st, Vali-e-asr st, Tehran,Iran
Tel
+9821-88551900
Fax
+9821-88551017
Email
info@shahinmotor.com
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