Company Information for Technology Transfer 

Name of Distributor
Complete Address

Registered office  

Marketing office  


Telephone No. 
Registered Office  
Marketing Office   
Residence           
Mobile / Pager No.
Fax No.
E-mail
Name of Managing Director
Name of Contact Person/with their Designation
 

Technical      


 

Commercial   


 
Year of Establishment
Years of experience 
At present dealing with (Name of the Equipments/Company Specially)
 
(i) 
(ii) 
(iii) 
(iv) 
No. of Total Staff
No. of Sales Executive/
Engineers 
No. of Service Engineers
(After Sales & Service) 
Area/States covered 
Name of your Bankers 
Web address 
if handling net marketing
If handling agency / distribution of any other company, Please the name of the company and products handled, with area covered
 
Government business 
 
1) 2nd Last Year
2) Last Year      
3) Current Year 
    (till today)    
 
How much you can invest
in our products/projects
 
Can you offer after sales 
service
 
Coverage in Govt. Hospitals Pvt. Hospitals/
Nursing homes 
 
our Expected monthly Sales (Expected Appx.)
Telemedicine Solution
 
Any Comments
Your S.T. No.
C.S.T. No.
   

 

  Corporate and R & D Center

Online Infocom Pvt. Ltd.
B-6 Udaygiri, Behind Shraddha School,
Jodhpur Gam Road, Satellite.
Ahmedabad - 380 015 (INDIA) 

Phones +91 79 2692 0755
+91 79 6522 2172
Office Mobile +91 92 2724 2989
Tele Fax  +91 79 2693 0726
Video  +91 79 2692 3217
E-mail  : ragesh@onlinetelemedicine.com
Web  : www.onlinetelemedicine.com