Please complete the application form below:
Decision Maker's full name*
What type of industry is your company?Advertising & MediaBanking & FinanceConstruction & Real EstateOil & GasIT & TelecommunicationManufacturingTravel & TourismShipping & LogisticsOther
Is your company a subsidiary?NoYes
If your answer is "Yes", please fill in the name of the parental company in the next field.
Does your company have subsidiaries?NoYes
Does your company have representation in other Middle East countries?NoYes
If your answer is "Yes", please mark the countries in the following checkboxes.
Abu DhabiDubaiKuwaitOmanQatarSyriaBahrainJordanLebanonPakistanSaudi ArabiaYemen
How many cars do you have on your fleet?
How many years do you keep your company vehicles?1-2 years2-3 years3-4 years4-5 years
Please give us the contact details of the main decision maker/s .
 only if different from company details
Preferred language of communicationEnglishArabic
I hereby declare that the information provided in this enrolment form is true to the best of my knowledge and I apply for Daimler Fleet Account Number on behalf of my organization.