Dealer Login :
Email :
Password :
Remember Login Forget Password ? New Dealer Sign Up !


1. New Dealer Registration

Form Submited By
Name :
Gender : Male Female
Date of Birth of CEO
Designation :
Mobile Number :
Landline Number (Work): Extn :
Email Id : (This is your Login Id)
Website URL : http://
Office Premises : Rented Owned
Office Address :
Country :
State :
District :
Marital Status : Single Married
Date Of Wedding :
Landline Number (Home):
Residential Premises : Rented Owned
Residential Address :
Have you already registered earlier : Yes No
If yes, company name of earlier registration :
If yes, person name of earlier registration :
Reasons for re registration : Others:

2. Company Details

Company Name :
CEO Name / Owned By :
Type of Ownership: Proprietory Partnership Pvt Ltd Company Limited Liability Partnership Limited Company
Others Pls Mention
Details of the Partners / Owner / Directors Add More Member
Name Designation Department Contact Email Address Sleeping Partner
Type of Business : Distributor / Dealer System-integrater Installer
Others Pls Mention

3. Statutory Details

CST No :
VAT No :
TIN :
PAN :
Annual Turn Over (In Lakhs) :
2011 - 2012 : 2010 - 2011 : 2009 - 2010 :
No. of employees :
Sales Team : Technical Team : Other Staffs :
 
No. of Branches in India : (Pls specify the no.of branches)
Presence in different cities : (Pls specify the no.of cities)
Current Transaction Bank Details
Name of the Bank Branch Name / Location Account Number
1.
2.
3.
Registered Office Address Billing Address Shipping Address
Contact Name :
Billing Name :
Despatch Name :
Contact Address Billing Address | Same as Contact Address Despatch Address | Same as Contact Billing Other
500 characters remaining...
500 characters remaining...
500 characters remaining...
Pin Code :
Pin Code
Pin Code
Land Mark :
Have you associated with lookman prior to this directly or idirectly? : Yes No
If yes, write few details

4. Point Of Contacts

Name Designation Department Mobile No. Email Address
Would you like to recieve vital information like Transaction Details, shipment tracking information and other business and transactional related informations by Email and SMS ?
Tracking Transactions Promotions Bussiness Lead After Sales
Email SMS
Email SMS
Email SMS
Email SMS
Email SMS
 
Name Designation Department Mobile No. Email Address
Add More Point of contacts

5. Social Media Contacts

Please share your social media contact address
:(Enter your Skype ID)
: (Enter your Facebook account ID or Name)
: (Enter your Linkedin Profile ID)
: (Enter your Twitter Profile ID)

6. Product Category Engaged in

Product Category Brands (Pls specify the brands you are dealing in)
1. CCTV 1.
2.
3.
4.
2. Fire Alarm 1.
2.
3.
4.
3. Access Control 1.
2.
3 .
4 .
4. Intrusion & Home solutions 1.
2.
3 .
4.
5. Others 1.
2 .
3 .
4.

7. Login Details

Your user name is :
Password :
Re-Type Password :
(You can access your control panel using this password)
 
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