Customer Registration Form Customer Organization Details Name of the Company (*) Physical Address (*) P. O. Box (*) City (*) Country (*) Telephone Number (*) Mobile No. (*) DVCOM Account Manager Important Regulatory Details Trade License Number (*) Trade License Issue Date(*) Trade License Expiry Date(*) Trade License Authority (*) VAT Registration Number (*) Key Contacts Business Head Name (*) Email ID(*) Mobile(*) Purchase Head Name Email ID Mobile Payables Head Name Email ID Mobile Logistics Head Name Email ID Mobile Delivery Address Address Line 1 (*) Address Line 2 Required Documents Full Set of Trade License with Partners detail page (Max filesize 5MB)(*) VAT Registration Certificate (Max filesize 5MB) (*) Passport copy of the Cheque Signatories/Shareholders with valid Visa page (Max filesize 5MB) (*) Company Profile/Brochure if available (Max filesize 5MB) Additional for Free Zone Establishments: Share Holding Certificate or Memorandum of Association (Max filesize 5MB) Please do the needful to register our account in your system. In respect to products and services that we purchase from DVCOM Technology LLC and its affiliate/associate companies, we confirm that we will full comply with all applicable export control regulations as specified by UAE and other government authorities including export/re-export to any embargo/sanctioned country. We understand the associated liabilities and are full responsible for the same.