Online Infocom Pvt. Ltd.

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.