Qmc Application Form

 *mandatory fields
* Firm's Name:
*Owner's Name:
 *Type of Organization :
Landline No:
*Mobile No. 1:
Mobile No. 2:
Interested in Mobile /Home appliances business :
 No. of Years in Mobile / home appliances Service :
*Name of the Mobile/home appliances Brands previously worked with ::
*Average Monthly Calls Received ( In Qty ) :
*Business Area ( specify cities/ Tehsils / Districts):
*Bank Name :
*A/C No :
*IFSC Code :
*Pan No:
*No of qualified technicians in hand :
*Willing to take Quba Distribution ship for the same Area?:
*Has Proper Business Set up ( Computers / Internet / Staff / Bar Code Scanner etc.) :