Formulario Agentes Externos

Full name *

Title *

Professional Name *

Nationality *

Date of Birth *

Type of Document *

National ID

Passport

Tax Identification Number

Expiry Date

National Identity Card *

Tax Identification Number *

Passport *

Street *

Country *

Email address *

Telephone *

WhatsApp *

LinkedIn profile *

Do you work for a company?

Yes

No

Company Name *

Entity Type

Commercial Registration No.

VAT Number

Country of registration

Full Tax Address

Corporate Website

Legal Representative

Position/Role

Real Role

I have a direct mandate from the buyer

I have a direct mandate from suppliers

I am an intermediary without a formal mandate

I am a direct Trader

LOI/Soft Probe

Yes

No

Real access

Yes, direct

No, through third parties

Closed agreements

0

1-2

3-5

+5

Volume

Agent positioning

Buyer agent

Supplier agent

Both

Countries

Demonstrable financial capacity

Yes

No

Product origin

Can you provide any documentation for product proof?

Yes

No

Lines of Business

Agri-food

Fertilisers

Hydrocarbons and Derivatives

Minerals

Industrial Products

Forestry

Marketed products

Average monthly/annual volume

Active opportunities

Yes

No

Product

Volume

Origin

Destination

Contract Type

Spot

SPA

Commercial Status

LOI available

ICPO available

Initial phase only

Agreement Type

NDA

NCNDA

Target Commission

Structure

Percentage

Per ton

Fixed

Do you accept that CARBOLYZ controls the commission structure?

Do you commit to respect and follow CARBOLYZ's procedures?

What is your goal when working with CARBOLYZ?

Bank Name

Beneficiary

IBAN

SWIFT / BIC

Identity Document *

Proof of Address *

Bank Reference

Language

I am not involved in illegal activities *

I am not on international sanctions lists *

I declare that the information is accurate. *

I accept the Privacy Policy and authorise contact. *

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