Cerebra Middle East

Partner Application Form

Company Details
Name*
Address1
Address2
PoBox
City
Country
Telephone
Annual Turnover as per ASF

Marketing Contact
Name
Title
Telephone
Mobile*
Email ID*

Purchase Contact
Name*
Title
Telephone
Mobile*
Email ID*

CEO/Director/Proprietor
Name*
Title
Telephone
Mobile*
Email ID*

Bank Details
Name*
Address*
City*
Country*
Telephone*
IBAN*
SWIFT code*
Currency*

Finance Contact
Name*
Title
Telephone*
Mobile*
Email ID*

Attach Documents
Trade License*
Proprietor Passport Copy*

Solutions
Microsoft
VM Ware
Networking
Back Up
Disastor Recovery
Storage
Security
CCTV