Dated

Application form for Appointment as Omkars Channel Partner

1.

Name of Applicant (s)

2.

Name of Agency

3.

Status

Address

5.

Contact no.

6.

Experience
(in Years)

NRI.Regd. Firm
Foreign National ...
Pvt. Ltd. Co.
..
Others
...

Tel :- ..
Fax :- .
Mobile ...
E- mail ID .
.. (Enclose copy of company profile)

7.

PAN No .

8.

Client Profile

9.

Commitment of Bookings

10.

Any other information relevant to consider your proposal

Service Tax No.

.per Month

..per year

I agree to consider terms and conditions for appointment as Omkars channel partner.
(Signature )
Name ..
Designation.
Stamp..
*Attach extra sheet wherever the space provided is insufficient: -

Omkar Realtors & Developers Pvt. Ltd. Omkar House, Off Eastern Express Highway,
Opp. Sion Chunnabatti Signal, Sion, Mumbai - 400 022. INDIA. Tel: +91-22 6625 4333