For Domestic Level
For International Level

 

For Domestic Level

* Indicates Compulsory Fields

 
 
Name of Company :

Name of Proprietor/Partners (1) 

Residential Address with Phone No :

Name of Proprietor/Partners (2)

Residential Address with Phone No :
Designation : 
Date :
Place :
Name & Address of Bankers :
 
 

Acount details

 
Turnover during Last Year :
Turnover during 2nd Last Year :
Turnover during 3rd Last Year :
 

Number of agencies with territory and approximate turnover

Name of the company
with territory
Agencies Since Year Sale During Last Year
in (Rs.)
       
Willingness to invest in our
Product (Rs.)
No. of Sales Person
Directly employed by you
   

Facility you have of :

Delivery Vehicles
Showroom
   
Territory in which you are
interested
Expected annual sale of our
product in your interested
territory
Your G.S.T.  No.
Your C.S.T. No.
Local octroi rate of our
product (if any)
Member of any
chamber of commerce (if any)
Perticular area / city where
you have good scope
(other than your chosen
territory )
   
City :
Pin Code :
State :
(if Other State Please Specify:
(if Other Please Specify) :
Tel. No. : (with std code)
Fax No. : 
Email :
Remarks :
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Servo Control Voltage Stabilizers ll 1 phase Air cooled ll 3 phase Air cooled ll
3 phase Oil cooled ll Transformer ll Power Transformer ll
Distribution Transformer
ll Isolation Transformer ll Furnace Transformer ll 
Halogen Transformer
ll Variable Voltage Auto Transformer (Variac) ll
Uniturrptible power supply system (UPS system) ll Inverters ll Scientific Laboratory Instruments

   Servo Controlled Voltage   Stabilizers
 
1 phase Air cooled
  3 phase Air cooled
  3 phase Oil cooled
  Automatic Voltage     Controller
 
Transformer
  Power Transformer
 
 Distribution Transformer
  
Isolation Transformer
  
Electronics Ballast
  
Halogen Transformer
  
Variable Voltage Auto     Transformer (Variac)
 Uniturrptible power supply system (UPS system)
 Inverters
Scientific Laboratory   Instruments
 More....
















 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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