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Application Form

1. Background Information:

Company Name:

Main field of work:

Registration Date :
Registered Capital: 

Paid In Capital: 

               
                       

Main Shareholders

Non-Jordanian Shareholders
Name Shareholding % Name Shareholding %

Legal Status  
General Partnership  Limited Liability Public Share Holding
Other (please specify): 

Headquarters’ Offices Address:
  Tel:    Fax:
   
  Email:    Website:
   
  P.O. Box:    Zip Code:
   
  GM:          GM Mobile:      
   
Mobile:  

Factory Address:

  Tel:    Fax:
   
is  the company part of any group?
Yes (specify)          No
   
Contact Person:
Name: Mobile:  
Historical Value:   
Net Book Value:     


2. Human Resources

Please specify the number of current employees as the following:

Jordanian Employees

Non Jordanian Employees

Permanent Employees:   Permanent Employees:
Temporary Employees: Temporary Employees:
Total :                    Total :                           
 

3. Marketing and Sales

Please specify Sales Turnover, Export Percentage, and Local Market Share for the last year:
Product Sales Turnover (JOD) Export %

Please specify company’s Export markets as follows:
Current Markets Future Markets

7. Required Service (please specify):
Full Scale Diagnostic Study
Business Plan
National Linkages Study

8. Required Attachments: (check if attached)
Company Registration
Company’s Organizational Chart
Financial Statements for the last 3 years audited and stamped (Balance Sheet, Income Statement, Cash Flow)
Company Profile, Catalogues and Brochures
List of employees issued by the social security corporation
 

General Manager Name: 

Date :
 

Note: The application form can also be printed and returned either by fax, mail, or direct visit to our offices.