KMA Global General Trading LLC

WH-02, Industrial Area 5, Beirut Street

Al Qusais, Dubai, United Arab Emirates
Tel : +97143421629
Email: Info@kmaglobal.ae

CREDIT CUSTOMER RATING FORM

Customer Code Site Code

Customer Name
ADDRESS INFORMATION
Post Box No Contact Person
Street/Building Telephone
Location Fax No
Emirates Email ID
OWNERSHIP INFORMATION
Name Nationality Contact No
Sponsor
Proprietor
Nature of Business ### Year of Establishment
Trade License & Expiry Date
Chamber of Commerce Regn & Expiry Date
Bank Name, Branch & Account Number
Details of any other Branches / Associates
Name
Address
CREDIT REQUESTED

Product Required
Estimated Monthly Purchase - Qty/ Amt
Bank Guarantee Value & Expiry Date Dhs.
Name & Signature of Goods Receiver
Credit Amount
Credit Days

Trade Channel Food Service Customer's Authorized signature & Stamp

Sub Channel Date of Request
Secondary Sub Channel Price Class Number
ROADNET
*Lattitude Preseller *Longitude Preseller
Lattitude - Delivery Longitude Delivery
*Shop Open Time (HH24:MI) *Shop Close Time (HH24:MI)
*Delivery Start time WI (HH24:MI) *Delivery Close Time WI (HH24:MI)
Delivery Start Time W2 (HH24:MI) Delivery Close Time W2 (HH24:MI)
*Service Pattern Set *Delivery TW Priority Level 1 *Customer Visits 1XW
* Service pattern (M= Mon, T=Tue, W=Wen, R=Thur,F=Fri, S=Sat, U=Sun) * Priority (1= High, 2= Med, 3=Low) (1xW, 2xW, 1x2W, 1x3W,1x4W)

OFFICE USE ONLY

□ Domestic Customer □ Group Customer □ Key Account □ Export Customer

Sales Office DUBAI SM Code Sub Route Code :

Cash Purchase History if Available
General Remarks
Date of Proposal
Finance Department Sales Supervisor/Manager
Amount Approved Master Update On Recommended By
Dhs.

Branch Accountant Sales Account Manager Regional Sales Manager

CFO M O Accountant Checked By Approved By
SR # CHECKLIST FOR THE CREDIT APPLICATION FORM
1 TRADE LICENSE
2 OWNER'S/ SPONSORS PASSPORT COPY
3 3 MONTHS LATEST BANK STATEMENTS
4 EMIRATES ID COPY FOR AUTHORISED PERSON
5 PASSPORT COPY FOR AUTHORISED PERSON