ISVP - Sign up Form
 
First Name: 
  
Last Name:
  
Business Type:
  
Address:
  
City:
  
State:
  
Pin Code:
  
Country:
  
Phone:
  
Fax:
  
Mobile:
  
E-mail:
  
Website:
  
Person to Contact:
 
Designation:
  
 
Name(s) of the Proprietor / Partner(s) / Director(s) with their Education Qualification:
 
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2.
3.
4.
5.
6.
7.
 
Profile of the products (dealing in)
 
Sr. 
Name(s) of Products
Name & address of Principals     
Last F.Yr. Annual Turnover (in Lacs)
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2 
3
4
5
 
Services offered
Areas in which the products are marketed :
Geographical:
  
Market Segment:
  
Total Manpower:
  
Management:
  
Marketing:
  
Support:
  
Others:
  
How many sales/support personnel will be dedicated for marketing
& supporting our products?:
  
 
List some of your major clients
 
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2
3
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9
 
All the above information supplied are true to the best of my knowledge
 
Place:
  
Signature:
  
Name:
  
Designation:
  
Date:
  
   
 
FOR OFFICE USE ONLY
 
Place:
  
Accepted / Rejected:
  
Date:
  
Authorized Sign:
  
 
 
 
 
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