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Koolan Cel
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Authorized after-sales service agent application form
"
*
" indicates required fields
Phone
This field is for validation purposes and should be left unchanged.
Personal information:
Name and surname:
*
Please enter your full first and last name.
Father's name:
*
Place of birth:
Identity card number:
*
Date of birth:
*
Place of issue:
*
Number of children:
Number of dependents:
Marital status:
*
Single
Married
Education:
*
Undergraduate
Diploma
Postgraduate Diploma
Bachelor's degree
Master's degree or higher
Gender:
Woman
Man
Religion:
*
مذهب:
*
Shiite
Sonni
Features:
Company / Store / Repair Shop Name:
Business facilities:
*
Single-phase electricity
Three-phase electricity
Water
Gas
Telephone
Fax
Computer
Other features:
Ownership type:
*
Rent
Live
Goodwill
Property and goodwill
Economic code:
License:
*
I have
I don't have
Trade union unit:
Category:
Business license number:
License date:
Union member:
License type:
permanent
Temporary
Tool status:
Excellent
Good
Number and type of vehicle to perform the service:
How much is your repair shop/store?
Does your repair shop/store have a sign?
Yes
No
Home address:
*
Street Address
City
State
Phone number:
*
Repair shop/store address:
*
Street Address
City
State / Province / Region
Phone number:
*
Fax:
Mobile number:
*
Site address:
Email:
Description:
Repair records:
Products you can install and repair:
*
Mashal
Jet heater
Gas burner package
Gas heater
Air conditioner
Water cooler
Refrigerator
Oil-burning products
Washing machine
Skill level:
*
Less
Medium
Good
Excellent
*
Repair history by year
Important projects completed
comments
Add
Remove
Names of two references (preferably job-related):
First and last name
Job
Workplace
Ratio
Familiarity period
Telephone
Code
Add
Remove
History of cooperation with after-sales services of companies:
Company name
Product authorized for installation and repair
Employment period from date
Employment period to date
Monthly income from agency (SAR)
Contract party facilities
Add
Remove
Specifications of technical staff under supervision:
First and last name
Year of birth
Products authorized for installation and service
Skill level
Repair history (in months)
Add
Remove
Attaching documents:
Upload a national ID card image
*
Max. file size: 2 MB.
Upload ID card image
*
Max. file size: 2 MB.
Upload a license image
*
Max. file size: 2 MB.
Upload image of educational documents
*
Max. file size: 2 MB.
Upload an image of the lease or ownership document.
*
Max. file size: 2 MB.
Upload a representative image of other companies
*
Max. file size: 2 MB.
Upload images inside and outside the trade unit
*
Max. file size: 8 MB.
Upload image of termination/exemption card
*
Max. file size: 2 MB.
Upload a picture of your latest academic degree.
*
Max. file size: 2 MB.
Security code
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