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Please send us below form to be our Channel Partner

Name of the Company :

Office Address :

City :

State :
Pin Code :

Tel No :

Mobile No :

Fax No :

Email :
Date of Business Started :

Category :

Distributor

Reseller

Dealer

OEM

System Integration

Sales Tax Reg No :

C.S.T :
W.E.F :
Status :

Properitorship

Partnership

Private Ltd

Public Ltd

Name of Properitor/Director/Partner with resi address & tel No :

1.

2.

No of Customer :

No of Outlets :

Manpower Employed :

Bank Details :

Banking Since :

Space Available (in sq. feet) :

Cities Represented :
Company Deals in : Monitors Volume P/M (Approx)
Scanners Volume P/M (Approx)
modems Volume P/M (Approx)
Consumables Volume P/M (Approx)
CD-Roms Drivers Volume P/M (Approx)
Network Cards Volume P/M (Approx)
Printers Volume P/M (Approx)
Others Volume P/M (Approx)
Branches (if any) :
Name of the company presently working with (any 3) :
What do you think about Aditya :
 
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