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Registration
About Yourselves
Name
:
Address
:
Office Tel.
:
Fax;
:
Email(User Id)
:
Password
:
Custormer Type
:
Agent
Distributor
Dealer
End User
Proprietor / Partner/ Director
Name & Address
:
Tele. No.
:
Mobile
:
Contact Person
Contact Person
:
Tele. No.
:
Personal Acitvity
:
Brief Business activities
:
Infrastructure
:
Products dealt
:
Approx. Turnover
Previous Year
:
Last To previous year
:
Service Set-up:
Sales Tax Regn. No.
:
C.S.T
:
EEC
:
P.A.N
:
ASSOCIATION WITH US
(a) For which Catagory,do you want to associate with us?
:
(b)Area of operation
:
(c)Expected Turn over during current year and next year, on our products
:
(d)Do you have required Infrastructure, Manpower and Finance to meet the above Turn over
:
(e)What kind of support do you need from us ?
:
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