Reseller Form

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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: __________________________________