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