Creditnet Server

The undersigned hereby appoint Decol Debt Collections L.L.C. to register the details listed below on their Database.

REGISTER CREDIT INFORMATION
Debtor: Amount (eg. AED 5,000):
Debt Due Date: Trade License No.:
Emirate: Telephone:
Fax: Mobile:
Type of Debt: Status:
Settlement Amount & Currency: Market Sector:
SUBMITTER INFORMATION
Name: Company:
Date: 2010 Credit Bureau No.:
Telephone: Fax:
Email:  

Decol Debt Collections L.L.C.
PO Box 56286, Dubai, United Arab Emirates
Tel: +971 4 333 8188  Fax: +971 4 266 5628
E-mail: uae(@)infocreditgroup(dot)com