PARTNER

1. Service Station Size and Construction

*** Fuel Service

*** Lubricants Service (TQAC)

** Bonjour Shop

** Café Bonjour

* Total Wash

* Other Services

2. Visitor's Basic Information

Name (Mr./Miss./Mrs.) : *

Age : *

Phone Number : *

Email :

Do you have any experience in operating the service stations *

3. Detail Information

A Copy of ID card (back and front) or only other official documents

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Width : *

Length : *

Land Area: (Photo of Land) : *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Land address : *

I agree to the TOTAL Cambodge terms and conditions *

1 Start 2 Complete

Total e-mail *

* Mandatory fields