Channel Partner Information
Basic Information:  

Name* :
Contact Number* :
Email Id* :
Address :  
PAN No :  
Company Details:
Company Name :
Contact Person :
Phone Number :
Fax :
Mobile Number :
Official Email ID :
Postal and Office Address :
Website URL :
Declaration: All the information above is true as per my knowledge. I understand that this is the application for the Channel Partnership for Marketing/Promoting/Selling of different Solutions, Products and Services with Binary Semantics Ltd in assigned market. In case of any incorrect information, Binary Semantics Ltd and Associated Companies have rights to remove the company profile from consideration list and to cancel channel partnership (if already done) and to take Legal actions against our Company/ Me/ Signing Authority/Responsible Person/Contact Person.