INTERESTED IN BECOMING A BUSINESS PARTNER WITH SHELL LUBRICANTS?

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Name as per IC

Mobile phone no.

E-mail address

Company / Business name

Business type Sole proprietorship Partnership Limited Liability Partnership Private Limited Company Public Limited Company

Do you have the PDA License to carry out wholesale marketing of Petroleum / LPG based materials (PDA4)? Yes No

Company / Business Address

State Sarawak Sabah Labuan Kedah Perlis Penang Kelantan Perak Pahang Terengganu Selangor Negeri Sembilan Malacca Johor Kuala Lumpur

Postcode

Area of interest Business to Consumer Business to Business

Interested to operate in Johor Kedah Kelantan Kuala Lumpur Malacca Negeri Sembilan Pahang Penang Perak Perlis Sabah Sarawak Selangor Terengganu

I would like to receive communications from Shell and/or its affiliates regarding products and services, newsletters, and events in the future. YesNo

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