Uploaded by Muhammad Syibli Azizan

7E vendor-guide form

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To :
7-ELEVEN MALAYSIA SDN BHD (Company No : 120962-P)
Level 3A, Podium Block, Plaza Berjaya,
No. 12 Jalan Imbi, 55100 Kuala Lumpur.
Tel : 03 - 2142 1136 Fax No : 03 - 2142 1249
Application To Be 7-Eleven Panel Of Vendors
Customer's Particulars
1
2
3
4
5
6
7
Company Name
:
Bovia Resources
Business Registration No
:
201203229210 (00216090-D)
Date Of Incorporation
:
28.9.2012
Business Address
:
Telephone No
:
Registered Office Address
:
Telephone No
:
Person To Contact / Designation
:
Chuah Suree / Operation Director
E-mail
E
mail Address
:
bovia.resources@gmail.com
Nature of Business
:
Food & Beverages
Product Category
:
Dessert
Credit Term
:
7 days
Type
: Public / Private Ltd / Partnership / Sole Proprietor / Others :
Certification Obatined
:
Years of business in the market : 10
A-209, Paradesa Rustica, Persiaran Merantin,
Bandar Sri Damansara, 52200, KL
017-5580780
Mobile No :
012-4623528
Sole Proprietor
N/A
Directors / Partners / Shareholders
Name
Muhammad Syibli
Bin Azizan
Residential Address
Paradesa Rustica
Position
Owner
1
Date of Birth
I.C. No.
Nationality
14.02.1985 850214-14-5581 Malaysian
Application to be 7-11 Panel of Vendors (3)30708.xls10.04.2008
Application To Be 7-Eleven Panel Of Vendors
8
Paid Up Share Capitals
: RM N/A
Annual Income / Turnover :
N/A
(Plse attach the latest 3 years Profit and Loss Statement and Balance Sheet, ROC Form 9, 13, 24 & 49 or Trading License)
9
Bank Reference : Customer's banker / Account No / Branch / Type of A/c or facility :
a)
CIMB Bank / 7015213148 / Sri Damansara / Saving Personal
b)
10
Supplies To Top Three Retailers
:
Name
Sales Amount (RM)
10.1
10.2
10.3
Signed by or for and on behalf of the company
Name :
Muhammad Syibli Bin Azizan
I.C No :
850214-14-5581
Company Chop
Designation : Owner
2
Application to be 7-11 Panel of Vendors (3)30708.xls10.04.2008
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