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1.
New Dealer Registration
Form Submited By
Name
:
Gender
:
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Date of Birth of CEO
Day
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Year
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1997
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2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Designation
:
Mobile Number
:
Landline Number (Work)
:
Extn :
Email Id
:
(This is your Login Id)
Website URL
:
http://
Office Premises
:
Rented
Owned
Office Address
:
Country
:
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State
:
--Select State--
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rajkot
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District
:
--Select District--
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Dhalai District
Dhamtari
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Diban Valley( Anini Valley)
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East
East Champaran
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east Godavari
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jyotiba Phoole Nagar
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Mon
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Nizamabad
North
North
North
North 24 Parganas
North District
North East
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Not Applicable
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Poonch
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Pulwama
Puri
Purnea
Purulia
Quilon
Raebareili
Raichur
Raipur District
Rajauri
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Ramanathapuram
Rampur
Ranchi
Ranga Reddy
Rayagada
Rewari
Ri-Bhoi District
Rohtak
Rohtas(Sasaram)
Roin
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Sabarkantha
Saharanpur
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Sant Kabir Nagar
Saraikela
Saran( Chapra )
Satna
Sawai Madhopur
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Seohar
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Shimla
Shimoga
Shooji Maharaj
Shravati
Sibsagar
Siddharth Nagar
Sikar
Siliguri
Simdega
Sirmour
Sirohi
Sirsa
Sitamarhi
Sitapur
Sivaganga
Siwan
Solan
Sonepur
Sonipat
Sonitpur
South
South 24 Parganas
South District
South Garo Hills
South Goa
South West
Srikakulam
Srinagar
Sultanpur
Sunbhadra
Sundergarh
Supaul
Tamenglong
Tawang
Tehri-Garhwal
Thanjavur
Then
Thoothkudi
Thoubal
Tinsukia
Tiruchiorappalli
Tirunelveli
Tiruvallur
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Tiruvarur
Tonk
Trichur
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Tuensang
Tumkur
Udaipur
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Udhamsingh Nagar
Udupi
Ukhrul
Una
Unnav
Uttar Dinajpur
Uttarkashi
Vaishali(Hajipur)
Varanasi
Vellore
Villupuram
Virudhunagar
Vishakapatnam
Vizianagaram
Warangal
Wayanad
West
West
West Champaran
West District
West Garo Hill
West Godavari
West Khasi Hill
Wokha
Yadgir
Yaman
Yamunanagar
Zunheboto
Marital Status
:
Single
Married
Date Of Wedding
:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
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
:
Select Reason
Company name changed
Earlier person left the job
New branch opened
Others (Specify)
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
Select Department
Admin
Accounts / Finance
Purchase
Marketing / Sales
Technical
Others
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
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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
Select Department
Admin
Accounts / Finance
Purchase
Marketing / Sales
Technical
Others
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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