Area Representative Application Form
(Parcel Service)

Personal Information

First Name *

Last Name *

Mobile Number *

Landline Number

Alternate / Emergency contact Number *

Email *

Address *

City*

Post Code*

Country*

How long at the address ?*

Current Immigration Status *
–Select–Citizen of the UKIndefinite Leave to Remain holder of the UKForeign CitizenTime-limited Visa holder

Occupation

Occupation *

Do you currently own a Business ? *
YesNo

Are / Have you currently operating / previously operated as a Franchisee, Agent or Area Representative of Teeparam or another organisation? *
YesNo

Operational Capacity for the Parcel Service

What regions / areas / cities are you interested in covering ?*

Have you got a safer place to store the parcels ? *
YesNo

Are you able to collect parcels from customers’ places ? *
YesNo

Other Information

Have you ever been convicted of a criminal offence ? *
YesNo

Have you ever been involved in lawsuits ?*
YesNo

Declaration *

I declare that the information provided is accurate to the best of my knowledge