SSM Dealership Registration Form Dealership Registration Form Step 1 of 2 50% As part of the requirements in applying for Shanghai Siomai Dealership, the following information shall serve as the basis for my application. I understand that the submission of this form does not obligate SHANGHAI SIOMAI or myself in any way or manner. Name*FirstLastType of Dealership*Standard Food CartCounter/Stall typeProductContact Number*Email Address*Home Address*Provincial AddressGovernment Issued ID Number(e.g. LTO, PRC, Postal, SSS)PERSONAL INFORMATIONAge*Civil Status*Spouse NameIf ApplicableSpouse OccupationSpouse Date of BirthNumber of DependentsPlease click the NEXT BUTTON below to proceed to the second page. CORPORATE PROFILEEmployment Status*Currently Employed (with Employer)Self employedDo you operate or own other business?YesNoCompany NamePositionAddressContact NumberEmployed From Employed Until Current Monthly SalaryNature of BusinessType of industry where your employer belongs.ACADEMIC BACKGROUNDPrimary EducationYear GraduatedSecondary EducationYear GraduatedTertiary EducationYear GraduatedPlease fill in the box below if you have further clarifications.By clicking the SUBMIT button below, I certify that the information furnished in this SHANGHAI SIOMAI DEALERSHIP APPLICATION FORM is TRUE, CORRECT and COMPLETE.