Zuva LP Gas Reseller Application

Gas Reseller Application

Step 1 of 5

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PERSONAL DETAILS
Name
Forename(s) Surname
Date of birth:(DD/MM/YEAR)
Date Format: MM slash DD slash YYYY
Contact Details
Home telephone number:
PhoneCell phone number:
Physical Address
Street Address Address Line 2 City State / Province / Region Country
Email
How long have you been living at your current address?
If you have lived for less than five years at your current address; please provide your previous address(es) for this period giving dates:
Please provide the address and details of sites/areas that you are targeting:
Have you ever been employed in the oil/l lpgas industry? Yes/No
- Yes
- No
If yes, where?
Have you ever been employed by this company? Yes/No
- Yes
- No
Have you ever been refused a position by this company? Yes/No
- Yes
- No
If yes, please provide details:

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PLEASE ANSWER THE FOLLOWING QUESTIONS
Please read the following questions carefully giving honest and fully explained answers. This section allows you to give us real life examples. Attach separate sheets if necessary.
YOU MUST COMPLETE EACH SECTION OTHERWISE WE CANNOT PROCESS YOUR APPLICATION.
Please provide your reasons for applying to become a Zuva Gas Reseller.
Please provide at least 2 key elements needed for a successful Zuva Gas Reseller, and explain why.
Please describe what you feel good customer service looks like and how you will motive your staff to constantly deliver it:
Please provide a copy of a business plan in support of your application. Include a careful estimate of monthly volumes/ financial turnovers you can achieve at the site of your choice.
Drop files here or

Accepted file types: pdf.
Please outline how you would measure and control the profitability of your business?
Do you have pending court judgements against you? Yes/ No
- Yes
- No
If yes, please give details:

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FINANCIAL DATA
NOTE: AS PART OF THE APPLICATION PROCESS, CREDIT CHECKING IS AN ESSENTIAL REQUIREMENT AND WILL BE UNDERTAKEN THROUGH VARIOUS SOURCES. THIS WILL NEED TO BE UNDERTAKEN AS PART OF THE APPLICATION PROCESS. PLEASE CONFIRM YOUR AGREEMENT TO ZUVA PETROLEUM CONDUCTING THIS CHECK IN ORDER TO PROGRESS YOUR APPLICATION FURTHER BY SIGNING HERE
Signed:
Date
Date Format: MM slash DD slash YYYY
Please explain how you will fund your cylinders deposit fee and your initial order.
Personal Income statement of the 12 months period ending:
PERSONAL INCOME:
Salary Wages:
Bonuses/ Commissions:
Dividends/ Interest:
Real Estate Income:
Business Profit (Please specify):
Other Income (Please specify):
TOTAL INCOME:
Statement of Personal Net Worth
ASSETS
Cash in the Bank:
Securities/ bonds:
Accounts, Notes & Loans Receivable
Fixed property
Other Assets
TOTAL ASSETS
LIABILITIES
Accounts, loans & Payables
Mortgage loans
Other liabilities
TOTAL LIABILITIES
TOTAL NET WORTH (Total Assets minus Total Liabilities)

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COMPANY OWNERS DETAILS
Each person signing below provides his/her consent to Zuva Petroleum conducting a credit reference and searches using commercial and consumer databases and other sources. Please ensure that all details are completed and that all Sole Traders /Partners/ Directors print their FULL NAME and sign below. If you need to include more than two names of Partners/ Directors, please photocopy this page and supply the additional details.
Sole Trader/ Partner/ Director 1
Name
Full Name Surname
Position
Date of Birth
Date Format: MM slash DD slash YYYY
Home Address
Street Address Address Line 2 City State / Province / Region Country
Residence status:
- Owner
- Tenant
Previous address (if less than three years at current address)
Have you had any court judgements against you in the last three years?
- Yes
- No
If you answered yes, please provide details:
Phone Number
Alternative Phone Number
Email Address
Sole Trader/ Partner/ Director 2
Name
Full Name Surname
Position
Date of Birth
Date Format: MM slash DD slash YYYY
Home Address
Street Address Address Line 2 City State / Province / Region Country
Residence status:
- Owner
- Tenant
Previous address (if less than three years at current address)
Have you had any court judgements against you in the last three years?
- Yes
- No
If you answered yes, please provide details:
Phone Number
Alternative Phone Number
Email Address

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REFERENCE CHECKS
CONDITIONS OF CONTRACT. It is our intention to check all references and information offered by the applicant on this application form. If it is found after checking references that information provided by the applicant is unsuitable or inaccurate then the applicant’s contract may be terminated without notice.
Please supply details of three referees; such as your employer, previous employer and trade references such as a solicitor or accountant; whom we may contact. If all three references are not provided, this application will not be considered. One personal reference will also be considered.
Ref 1
First Last
Address
Street Address Address Line 2 City State / Province / Region Country
Company
Email
Phone Number
Ref 2
First Last
Address
Street Address Address Line 2 City State / Province / Region Country
Company
Email
Phone Number
Ref 3
First Last
Address
Street Address Address Line 2 City State / Province / Region Country
Company
Email
Phone Number
DECLARATION
I hereby declare that all the information given by me in this application form is true and I agree that Zuva Petroleum (Pvt) Limited may seek confirmation from appropriate sources. If at any time the information is found to be false or in any way incorrect, any contract between myself and Zuva Petroleum (Pvt) Limited is likely to be terminated without notice.
Signed
Date
Date Format: MM slash DD slash YYYY
Please provide us with certified copies of the following:
Tick if attached
File
Drop files here or
NB: If any of the above is not submitted we will not consider your application.
Name
This field is for validation purposes and should be left unchanged.

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Visit Us

Head Office

52 Birmingham Road
Southerton, Harare,
Zimbabwe

Station Locator

Locate a station

Call Us

+263 8677 000 490

Email Us

customercare@zuvapetroleum.co.zw
info@zuvapetroleum.co.zw

WhatsApp Us

+263 772 129 329

Products & Services

Petrol/Diesel
LPG
Aviation
Lubricants
Presto
Zuva Fuel Card

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Zuva LP Gas Reseller Application

Gas Reseller Application

Step 1 of 5

PERSONAL DETAILS

Contact Details

PLEASE ANSWER THE FOLLOWING QUESTIONS

FINANCIAL DATA

Personal Income statement of the 12 months period ending:

Statement of Personal Net Worth

COMPANY OWNERS DETAILS

Sole Trader/ Partner/ Director 1

Sole Trader/ Partner/ Director 2

REFERENCE CHECKS

DECLARATION

Please provide us with certified copies of the following:

NB: If any of the above is not submitted we will not consider your application.