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Type* ------------------------------------------------------B2C - Direct RetailsB2B - Professionals and IndustryB2B - Resellers
Category* ------------------------------------------------------
Original Category(to be Hidden)* ------------------------------------------------------ProfessionalResellersCorporateNGOs & ClubsSofap Internal UseProfessional
VAT Registered* Yes No
Name*
Trading Name*
Street Address*
Address mailing* same as business address
Mailing City* ------------------------------------------------------AlbionAlle BrillantAmauryAntananarivoAntsirabeArgyArsenalBaie Du CapBaie Du TombeauBalaclavaBambousBarlowBeau BassinBeau SongesBeau VallonBel AirBel Air Riviere SecheBel OmbreBel VederBell VillageBelle EtoileBelle MareBelle RiveBelle RoseBelle VueBelle Vue MaurelBlack RiverBlue BayBois CheriBois Des AmourettesBon AccueilBonne TerreBrisee VerdiereBritanniaCalebassesCalodyneCamp ChapelonCamp de MasqueCamp de Masque PaveCamp DiableCamp FouquereauxCamp ThorelCandosCap MalheureuxCarolineCascavelleCase NoyaleCassisCastelCaudanCentre De FlacqChamarelChamounyChemin GrenierClemenciaCoromandelCottageCreve CoeurCurepipeDagotiereDagotiere VerdunD'EpinayDubaiDubreuilEau CouleeEbeneEcroignardFlacqFlic En FlacFlorealFond Du SacForest SideFuelG R N WG R S EGlen ParkGoodlandsGrand BaieGrand BoisGrand GaubeGrand PortGrand RivereGrand SableGrande RetraiteGrande RiviereHenriettaHermitageHighlandsIlot D'EpinayL`EscalierLa FloraLa GauletteLa PreneuseLabourdonnaisLallmatieL'AventureLe MorneLe PortL'EscalierL'Esperance TrebuchetLong MountainLower DagotiereLower ValeMaheMahebourgIle de La ReunionMamoudzouMapouMare D`AustraliaMare D'AlbertMare TabacMedineMedine Camp de MasqueMelroseMer RougeMesnilMidlandsMokaMont ChoisyMont IdaMont RocheMontagne BlancheMontagne LongueMontagne OryMont-FertileMorc St AndreMoshiMount OryMt LoisirNew GroveNouvelle DecouverteNouvelle FranceOliviaPaillesPalmaPalmarPamplemoussesParisPereyberePetit RaffrayPetite JuliePetite RivierePetite Riviere Petite Riviere NoirePetitie RaffrayPhoenixPietermaritzburgPitonPlaine des PapayesPlaine Des RochesPlaine LauzunPlaine MagnienPlaine VertePlaine WilhemsPlaines Des PapayesPointe aux CanonniersPointe aux PimentsPointe aux SablesPointe de FlacqPointe D'EsnyPomponettePort LouisPort MathurinPoste De FlacqPoste la FayettePoudre D'OrPoudre D'or VillageProvidenceQuartier MilitaireQuatre BornesQuatre CocosReduitReunionRiche TerreRiviere des AnguillesRiviere des CreolesRiviere du PosteRiviere du RempartRiviere NoireRiviere SecheRivieres des AnguillesRoche BoisRoche TerreRoches BrunesRoches NoiresRodriguesRose BelleRose HillSaint CroixSaint PierreSavanneSebastopolSolferinoSolitudeSouillacSt AntoineSt AubertSt FelixSt FrancoisSt HubertSt JulienSt Julien D'HotmanSt PaulSt PierreSurinamTamarinTamarin BayTananariveTerre RougeTrianonTrioletTrois BoutiquesTrois BrasTrou Aux BichesTrou D'Eau DouceTsimaramaraUnion FlacqUnion ValeUpper DagotiereUpper ValeVacoasValeValettaVallee Des PretresVallee PitotVerdunVieux Grand PortVilleminWootenLe HochetUnion ParkBerthaudBoundaryBramsthanCamp CavaleChebelDeforges StEdith CavellEtienne PellereauFort GeorgeLa BaraqueLa ButteLa LouiseLa MivoieLa Tour KoenigMontee SNicolay stNo Fix SitesOllierPetit VergerPlaisancePort Louis NordPort Louis SudQuai DRte BassinRte des PamplemoussesSt PatrickStanleyTreflesTrou FanfaronTyackUnion St Aubinward 416eme MileBain Des DamesForbach
Address Registered Office* same as business address
Contact Person*
Contact Person Mobile*
Contact Person Office Number*
Managing Directors Name*
Proprietors/Partners/Members*
Date of Incorporation*
Numbers of years in Business*
VAT No.*
Please Attach VAT Document*
Company Number*
Please Attach Certificateof incorporation Document*
Trading License Number*
Please Attach Trading License Document*
BRN no.*
Please Attach BRN Document*
ID number*
Please Attach ID Document*
Please Attach Latest Utility Bill (Mailing address) Document*
Please Attach Latest Utility Bill (Business address) Document Document*
Comments
Trading Option* Cash Credit
Banker Name*
Authorised person to approve Purchase order*
Person to address Invoice*
Person to contact for payment*
Please Attach Financial statement Document*
Facilities Requested (Days)*
Facilities Requested (Amount in MUR)*
Email*
Password*
Confirm Password*