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KYC FORM

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
MOUNT MERU CUSTOMER RELATIONSHIP & SUPPORT DESK
1

COMPANY NAME

2

PHYSICAL ADDRESS

3

CONTACT NUMBER

4

EMAIL ID

5

TPIN NUMBER

Use digits only
6

STORAGE CAPACITY OF FUEL TANK AT YOUR SITE

Use digits only
7

MONTHLY VOLUME REQUIRMENT/USES

8

TYPE OF BUSINESS

Select one or more answers
9

WHO ARE OTHER FUEL SUPPLIERS WOULD YOU LIKE APART FROM MT MERU

10

WHAT BEST MOUNT MERU CAN DO FOR YOU ?