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  • Reseller Form

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    sunilkhanduja
    39 Ansichten2 Seiten
    This document is a reseller empanelment form for ConsorTex. It collects contact information, registration numbers, banking details, and existing clients from potential resellers to empanel them to resell ConsorTex products and services. The form requests information like company name and address, contact person, PAN, VAT, service tax, ESI, and PF registration numbers, existing customers, introducer details, and requires a signature.

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    This document is a reseller empanelment form for ConsorTex. It collects contact information, registration numbers, banking details, and existing clients from potential resellers to empanel them to resell ConsorTex products and services. The form requests information like company name and address, contact person, PAN, VAT, service tax, ESI, and PF registration numbers, existing customers, introducer details, and requires a signature.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als DOC, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    39 Ansichten2 Seiten

    Reseller Form

    Hochgeladen von

    sunilkhanduja
    This document is a reseller empanelment form for ConsorTex. It collects contact information, registration numbers, banking details, and existing clients from potential resellers to empanel them to resell ConsorTex products and services. The form requests information like company name and address, contact person, PAN, VAT, service tax, ESI, and PF registration numbers, existing customers, introducer details, and requires a signature.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als DOC, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 2

    CONSORTEX

    Reseller Empanelment Form

    Name of the Reseller ________________________________________

    Complete Address: ________________________________________

    ________________________________________

    ________________________________________

    Phone No. ________________________________________

    ________________________________________

    Fax No. ________________________________________

    Email ________________________________________

    Website ________________________________________

    Branch, if any ________________________________________

    ________________________________________

    Contact Person : Name ________________________________________

    Designation ________________________________________

    Phone No./Mobile No. ________________________________________

    Email Id. ________________________________________

    Domain (Industry) ________________________________________

    PAN (attach scanned copy) ________________________________________

    Service Tax No. (attach scanned copy) ________________________________________

    VAT / TIN No. (attach scanned copy) ________________________________________

    ESI Registration No. ________________________________________

    P.F. Registration No. ________________________________________

    Banker with Branch ________________________________________

    Contact Person ________________________________________

    Phone No. ________________________________________

    Mobile No. ________________________________________


    Who Introduced the vendor to Netambit? ________________________________________

    Existing Customers / Clients / Parties, if any ________________________________________

    ________________________________________

    ________________________________________

    Signature with Official Stamp

    Date: ___________________________________

    ________________________________________ Place: __________________________________

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