Agency Application Form

Name of Applicant:
Application Company:
Address:
Tel/Email:
Used to be a Secomity agent before ?	Yes No
Used to be an agent of other similar products ?	Yes No
Your company be able to run telecommunication service ?	Yes No
Your company be able to run advertisement service ?	Yes No
Registered Capital of your company ?
Where do you want to run your business ?
Members of your staff：	Less than 10 Less than 50 More than 50