AGENT APPLICATION FORM

Company Name (if any)
Address
Region/Country
Phone
Fax
Email
Website
Name of Applicant
Address
Region/Country
Phone
Fax
Mobile
Email
Biggest sales ever met (in U.S Dollars)
Any work experience?		Yes No
Any marketing experience?		Yes No
Numbers of years of experience (if any)
Have you ever closed a deal before?		Yes No
If yes, explain
Any criminal conviction?		Yes No
Country of residence
Nationality
Are you connected to real buyers or brokers and intermediaries?		Yes No
Are you ready to meet a target of closing 2 deals a month?
Are you ready to meet a target of closing 2 deals a month?		Yes No
If yes explain your strategy
Will you be ready to do the OTC training if accepted?		Yes No
Date/Month/Year of Registration
Provide two referees for your previous work and sales experience with email and telephone number (Landline & Cellphone)