Enquiry Form

OUR PARTONAGE

Application Form For Channel Partners


PLEASE FILL IN CAPITAL LETTERS


M/S _________________________________________________________

NAME  (Dir/Prop.) _____________________________________________ FATHER’S NAME _____________________________________________

OFFICE ADDRESS 
______________________________________________________________________________

(TELEPHONE NO.)________________________  (Mobile No.)___________________________

RESIDENTIAL ADDRESS 
______________________________________________________________________________

(TELEPHONE NO.)________________________  (Mobile No.)___________________________

E-MAIL _________________________________________ PAN/GIR NO._____________________

NO. OF YEARS IN CURRENT BUSINESS :                                          

CHEQUE TO BE GIVEN IN FAVOUR OF________________________________________________

SIGN. Of AUTHORISED ASSOCIATE ________________________

NAME OF THE AUTHORIZED ASSOCIATE  ________________________                                               


FOR OFFICE USE ONLY

ASSOCIATES  CODE:


NAME _________________________________

DATE OF REGISTRATION: ________________REGD. BY_______________________________

______________________(AUTH. SIGN.)¬¬¬¬¬¬¬¬¬¬¬¬¬-

____________________________________________________________________________________
Noida Office No.16-17, C-Block Market, Sector-41, Noida-201 303 (INDIA)