Contact Name *

Company Name *

Email Address

Website Address

Telephone Number *

Fax Number

Postal Address

Nature of Business
(maximum of 2000 words)

Reseller target market

Budget for Business/ Advertisements

Interested Products/Services of GSM Pro

Number of Outlets

Any references for GSM

Contact Name
(of company referred)

Contact Number
(of reference)

Contact Address
(of reference)

Reseller Nationality

Desired Country of reseller

Number of Employees

Number of Offices

Number of Clients (both shops and companies)

Place of Incorporation (Country and City)

Date of Incorporation

Commercial Registration No.

Issuer of Registration

Trade license number

Issuer of License

Activities specified in the trade license

Name of the owner (in case of sole proprietorship)

Names of the partners (if partnership company)

Legal form of the company (e.g. Limited, LLC, PLC. )

Previous year's Volume of Business (in US $)

Current year's Average volume of Business on monthly basis (in US $)

Major saleable product

Country taxation & Custom duties

Reseller's Bank details

Registered and paid up capital (in US $)