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NASONTA
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ADMECO
Channel Partner Information Sheet
* Fields are compulsory
Name of the Organization: *
 
Complete Address (postal) : *
 
Constitution (please tick) :
Managing Partner/ Director / Other Partner :
Contact Person: * 
 
Designation:*
 
Telephone No: (O) * 
 
 		 (R) :      
 
 
Fax No :

 		 Mobile *:
 
 
Email ID: *
 
 
Website ( If any) :
 
     (http://mail.abc.com)
Date Of Inception of your organization: *     
Present Line of Business *:
 
Bankers Name, Address and Telephone: *
 
Members of Association / Professional Bodies :
Business Activity (Please tick):
Your Strength in Handling (Please tick):
Total Years of Experience in Business: *
 
Have you ever dealt with Projects? If so,name of the project and client company:
Territory> of Interest:
(Please mention district – wise, where you are strong, since it may not be possible to give a large territory)
Expected Business Avg. per quarter of our items in the large territory of Interest: Rs       in figure
 Promotional Inputs required from the company    
 Where did you get our reference from (tick mark) :
Others (Please Specify):
Please mention the city of Yellow Pages:
Any other Queries:

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