Company Purchase Form APPLICATION FORMA. COMPANY DETAILSCompany Name *Business Type Address *Telephone Number *PassportVoters IDSSNITDrivers License REPRESENTATIVE DETAILSName Contact Number Email Position ITEMC. APPLIANCE REQUESTING FORName of Item Requesting For *Proposed Duration to Pay For Item *Payment Type *Bank TransferChequesCash FINANCING AGREEMENTInitial Deposit Agreement * CLIENT'S DECLARATIONCLIENTS INITIALSSIGN YOUR INITIALS BELOW TO AGREE TO THE ABOVE DECLARATION *I declare that the above information to the best of my knowledge. In support of my application, i understand that if any of the information I have provided proves to be false, it will lead to the automatic decline of my request. If it is found out that any of the information I have provided proves to be false after delivery of item, City Hire Purchase has the right to retrieve the item. I consent to CHP in connection with this application, making such enquiries about my affair as it deems fit I will also be available for further discussions upon request.Date *Upload Business Registration *Upload Commerce of Business Certificate * TERMS AND CONDITIONS VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: