Please fill out this form completely and return it signed within 14 days with supporting documents and attachments to:

Company Incorporation Information

Please furnish top 5 shareholders of the company with their share percentage:

Company Management Information

Please furnish the following information about company’s managers


Chairman of the Board

Commercial manager or Sales Manager

Contact Information


If yes, please furnish your representative name and contact information

For day-to-day business correspondence, please furnish contact information of three related persons (if necessary):

Contact Person #1

Contact Person #2

Contact Person #3

Financial Information


If yes, please mention top 3 products that you’ve bought from Iran in the past with the name of supplier and volume of last contract

Product #1

Product #2

Product #3

Please mention top 3 non-Iranian companies that you have traded in the last three years with their total volume (in Ton): (the product like your order)

Seller #1

Seller #2

Seller #2