The Secretary
ALL PAKISTAN FERTILIZER DEALERS ASSOCIATION
Office No. 53-T, 3rd Floor, Phase-II Commercial Area, Defense Housing Authority Lahore, Cantt Lahore.
Email: info@apfda.org, Ph # 042 -35707486–87, Fax # 042-35707488, Mobile # 0302-8699991
REQUEST FOR MEMBERSHIP
Date:____/ ____/_______
My Name:
________________________________________________________________________
Business Name: ________________________________________________________________________
I AM WORKING IN SINGLE / MULTIPLE CITY
Head Office
Postal Address: ________________________________________________________________________
City:
_______________________ Fax No. (Code+Number)________________________________
Tehsil:
_______________________ District: __________________________________________
E-Mail:
________________________________________________________________________
Land Line #:
(Code) _____________ (1) ______________________ (2) _________________________
Mobile #:
(1) ______________________________ (2) ____________________________________
CNIC#:
_________-____________-______ NTN #: ___________________________________
*STRN#:
_______________________________________________________________________
*(Sales Tax Registration Number)
I am dealer with following Companies
Number of Dealer ships
1. Dawood Hercules Fertilizer Ltd
__________
__________
__________________________
2. Fauji Fertilizer Co. Ltd (FFC)
__________
__________
__________________________
3. Engro Fertilizers
__________
__________
__________________________
4. Agri Tech Fertilizer
__________
__________
__________________________
5. Fatima Fertilizer Company Ltd
__________
__________
__________________________
6. Pakarab Fertilizer Limited
__________
__________
__________________________
7. Suraj Fertilizer
__________
__________
__________________________
8. National Fertilizer Marketing Ltd
__________
__________
__________________________
9. Hazara Phosphate Fertilizer Pvt Ltd
__________
__________
__________________________
10. Al-Hamd Chemicals Pvt Ltd
__________
__________
__________________________
Please find Enclose Chq #________________________ Rs:_____________ Amount in Words:
__________________________________________________________________________________
Of bank_______________________________________________Branch code____________in fever of
All Pakistan Fertilizer Dealers Association (APFDA)
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The Secretary
ALL PAKISTAN FERTILIZER DEALERS ASSOCIATION
Office No. 53-T, 3rd Floor, Phase-II Commercial Area, Defense Housing Authority Lahore, Cantt Lahore.
Email: info@apfda.org, Ph # 042 -35707486–87, Fax # 042-35707488, Mobile # 0302-8699991
Annually Fee paid by me is calculated as under
 Retailer
Rs: 5,000/-
 Single Dealer Ship
Rs: 10,000/-
 Multiple Dealer Ship in single City
Rs: 15,000/-
 Multiple Dealer Ship in Multiple Cites
Rs: 25,000/-
I hereby confirm that given information is Correct. I Request to Registered me as Member of All
Pakistan Fertilizers Dealers Association (APFDA). I do commit that I shell follow the rules &
regulations set by All Pakistan Fertilizers Dealers Association (APFDA)
Applicant Signature & Stamp
_______________
Signature
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