Sri Ain D Herbs

English | Malay


NAME	:	Phone Number	:	(HOME)
Address	:			(OFFICE)
IC NUMBER	:			(H/P)
FAX	:
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1.I’M INTERESTED IN BECOMING
STATE STOCKIST - PENGEDAR
DISTRICT DISTRIBUTOR - PERUNCIT
WHOLESALER - PEMBORONG
3B PROGRAMME

2.DO YOU HAVE THE ABILITY TO RUN THIS BUSINESS FOR FULL TIME?
Yes
No

3.DO YOU OWN A PREMISE/PERSONAL SHOP?
Yes
No
IF YES, PLEASE STATE THE ADDRESS :

4.WHAT IS YOUR JOB?
PRIVATE/GOVERNMENT SERVANT
SELF EMPLOYEE
STUDENT
UNEMPLOYED

Yes, I understand dan interested to know more about this business and programme and I do agree to register here, thank you!



DATE :