QMC Application Form About QUBA Contact Us Career QMC Application Form Distributer Application Form *mandatory fields * Firm's Name: *Owner's Name: *Address: *Type of Organization :--Select--ProprietaryPartnershipPvt Ltd Landline No: *Email: *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 : * VAT/TIN No: *A/C No : *IFSC Code : *Pan No: *No of qualified technicians in hand : *Willing to take Quba Distribution ship for the same Area?:YesNo *Has Proper Business Set up ( Computers / Internet / Staff / Bar Code Scanner etc.) :YesNo