APPLICATION TO BECOME A REPRESENTATIVE OF FUTURE FOCUS LTD COMPANY INFORMATION Company Name: EXCELLENCE TRAINING CENTRE ‘Address: 44 BILAL BIN RABAH STREET, OPPOSITE TO AL AHLI STADIUM GAET NO: 2, VILLA NO:22 ‘Town/City: NUAUA ~ DOHA State/Country: QATAR Post/Zip Code: Telephone #:( )__ +974 44360225 Fax#t:( ). Website: Email: info@excellence.aa www.excellence.aa CONTACT PERSON INFORMATION Title:__MR Gender: Male Cl Female First Name:__FAHAD. Family Name: KAMARUDHEEN Position/Job Title: _DIRECTOR- OPERATIONS Email Address: fahad@excellence.aa Mobile Phone: 4974 70033308 Teli#:( )_4974 70314703 __ Extension: Please include country and area codes, as applicable 00974OVERSEAS REPRESENTATIVE OFFICE (IF APPLICABLE) Company Name: Contact person: Position: Address: Town/ Town/City: State/Country: Post/Zip Code: Phone no: Faxno: Mobile# Email: AN ee are Bank Name: _ COMMERCIAL BANK OF QATAR Branch Name: Address: __DOHA- QATAR Town/ Town/City: DOHA State/Country: QATAR __ Post/Zip Code: ‘Account Name: __ EXCELLENCE TRAINING CENTRE ‘Account Number: 468023419600 __SWIFT Code: cbqagaga IBAN: QA45CBQA000000004680234AGENCY UNDERTAKING | agree to provide accurate advice to applicants regarding the course, admission requirements, visa requirements, study options as well as assistance with applications, travel arrangements, accommodation and pre-departure information. | agree to follow the terms of the representative agreement. Name: FAHAD KAMARUDHEEN. Signature: pA Date: 12/01/2017 DITIONAL INFORMATION (Compulsory) Please provide: 1. A short profile of the company, how long it has been in operation, main nationalities of student target market, key staff contact. 2. A copy of your Business Registration Certificate unless you are an individual and not registered to carry on business activity. In such a case a cv will be required. 3. A copy of your Passport or other identifying document with your photo (Driver's license etc.)