Dealers Registration

Company Name*
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Email ID*
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First Name*
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Middle Name*
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Last Name*
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Address
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Select Country
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State
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City
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Pin Code
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Fixed Phone No.*
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Mobile No.*
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PREVIOUSLY / CURRENTLY DEALING IN ELEVATORS?
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Previously / Currently Dealing In Elevators?
Yes No
NAME THE COMPANY / BRAND
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NUMBER OF UNITS SOLD IN LAST 12 MONTHS
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Reason For Not Continuing
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Do You Have Licence For Installation?
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Do You Have Licence For Installation?
Yes No
Interested Region For Dealership
Country
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STATE
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CITY
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DO YOU HAVE IMPORT LICENCE? FOR COUNTRIES OTHER THAN INDIA.
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Do You Have Import Licence? For Countries Other Than india.
Yes No
DO YOU HAVE LICENCE TO SELL ELEVATOR?
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Do You Have Licence To Sell Elevator? If Applicable
Yes No
Security Code*
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