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Registration form for Dealer (Dealer's Profile)
Company Name
Address
City
Phone no.
Mobile no
Fax
Email
Website
Branch offce
Address(s) (if any)
Type of the Company
Name & address of your bankers with A/C No.
   
Name of the banker
Address
Account no
Registration no.
 
LST
CST
WCT
Service Tax
Name of the Owners / Directors/Partners/Proprietors
Name
Desg.
DOB
 
Other Key contact person's name
Date of incorporation
Products/services offerd
Main focus on govt. or corporate customers
Geographical area of operation
Name of the principal companies you are associated with
Turnover in Rupees for last three years
2000 - 2001
2001 - 2002
2002 - 2003
Employee's strength
Sales
Services
Admn / Account
Are you already selling AV. Equipment (If yes what brand & approximate valume per month)
 
Name of the Brand
Aprox. vol per month
How did you know about us
Why are you interested in association with our company or promote our products ?
What kind of number or revenue you can committ to us?
Support you expect from us
Support you will provide us
Other information
Remarks
   
 
 
 

 



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