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Channel Partner Application Form
By Submitting this form, You are accepting our Terms & Conditions
Company Name
*
Organization Type
*
PVT LTD
PROPRIETORSHIP
PARTNERSHIP
OTHER
Established
*
State
*
Andhra Pradesh
Arunachal Pradesh
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Contact person name
*
Authorised Signatory
*
Phone Number
*
Email Address
*
GST NO
*
GST Copy
*
PAN Copy
*
CIN copy
*
Have Udyam Registered?
*
Yes
No
Udyam Copy
*
Cancelled Cheque
*
Message Subject
*
Last years turnover
*
No. of employees
*
Five largest customer names
*
Major revenue generating product line
*
Promoters professional experience
*
Do you distribute any competitive product similar to BridgeThings
*
YES
NO
Estimated business plan/volume for current financial year in INR with BridgeThings
*
Geographical presence/service area
*
Do you deal with government tenders
*
YES
NO
Your strong market area
*
INDUSTRIAL
COMMERCIAL
GOVT
RETAIL
WHOLESALE
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