Form

Trainee Name : _______________________Trainee ID : ________Lead :

_______________
Company Name : ____________________________________________________________
Company Known By Any Other Name : _________________________________________
Landline Number : _________________Mobile Number : ___________________________
Website : ____________________________Email ID : _____________________________
Address : __________________________________________________________________
PinCode:_____________Area Known By Any Other Name:__________________________
Line Of Business : ___________________________________________________________

Business Type :

Manufacturer
Service Provider
Dealer / Retailer
Exporter / Importer
Wholeseller / Distributor

Agent / Franchisee
Institute

Products : _________________________________________________________________
__________________________________________________________________________
Brands ____________________________________________________________________

Consumer Signature