[WEBSITE] Merchandiser Application Form

Product Details

Butiran Produk
Product Details*
Are your products halal?
Adakah produk anda halal?
Upload picture of your latest halal license.

Muat naik gambar terbaru lesen halal anda.
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Upload pictures of the product or product brochures:

Muat naik gambar produk atau risalah produk:
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What are the available options for products delivery?

Can supply to WarehouseCan send directly to OutletsCan send to either Warehouse and OutletsOthers
Other delivery remarks:
Butiran henis penghantaran lain:

Confirmation

Pengesahan
IMPORTANT!
I, the undersigned confirm, that the information provided is true and accurate as of the time of submission.
Name of signatory:
Nama penandatangan:
Signed By:*

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Should be Empty:

Listing Form