Name of Firm                  : 
	
Constitution                  : 
                                   Sole Propreitorship.
                                   Partnership.
                                  Private Limited.
                                   
	
Name of Propreitor/           : 
Partners/Directors.           : 
		 	      : 
	
Primary Nature of Business    : 
Manufacturer.
Distributor.
Dealer.
Consultancy.
Data Processing.

	
Date of Establishment         : 
	
Place of Business             : 
      (Address)               : 
	
Whether own or rented         : Own.  Rented. 

No. of Tel Lines              : 
	
Tel/Fax numbers               :  
	
Area of Business premises     :  sq.ft.

No. of Sales Staff            : 
	
No. of Support Executives     : 

Name and address of Bankers   : 
	
Brands and Manufacturers      : 
represented in last 3 yrs     
	
Business Volume.(last 3 yrs)Rs: 
	
Experience in  Data Communication related products :  

		
 

Additional information : 
if any