Company Name as per certificate of incorporation*

Entity type (Company/Partnership firm/LLP/Individual) *

Name*

Contact Email or Phone Number*

What areas of collaboration are you interested in?*
Product Reselling
Implementation
Technical Support
Other

Are you currently partnered with other technology companies?*
Yes
No

If yes, please list your existing technology partnerships.

What type of support would you like from us? *
Sales Training
Marketing Material
Technical Training
Other

Do you have a dedicated sales/technical team?*
Yes
No

Geographic regions covered* Select Region Local Regional National International

Do you comply with local tax and business regulations?*
Yes
No

GST Number *
Yes
No

GST number

Are you willing to sign an NDA and Partnership Agreement? *
Yes
No

Are you willing to pay a channel partner security deposit? *
Yes
No

Partnership Category *
Alliance Partnership
Retail Partnership
Alliance Partnership
Other Partnership