Section A – Industry Specific Data (MANDATORY)
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Name of Company: [___________]
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Industry Sector: [___________]
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Products / Services:(Comma separated free text, in UPPER CASE letters)[___________________________________________]
Section B – Contact Data (MANDATORY)
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Country: [▼]
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City: [▼]
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ZIP / PIN: [___________]
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Street: [___________]
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Email ID: [___________]
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Phone
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Landline: [___________]
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Mobile: [___________]
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Executive Name:
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First: [] Second: [] Family: [___]
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Designation: [___________]
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Section C – Location Data (OPTIONAL)
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Country: [_________]
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Manufacturing Locations (Cities) (Multiple selection): [_________]
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Sales / Marketing Locations (Cities) (Multiple selection): [_________]
REPEAT FOR ANOTHER COUNTRY
Section D – Manpower Data (OPTIONAL)
1. Manpower (As on last December)
| Location | Manufacture | Sales | Other |
|---|---|---|---|
| HQ Country | |||
| Other Countries | |||
| Total |
Section E – Management Data (OPTIONAL)
| Exec. Name | Designation | Mobile No. | Email ID |
|---|---|---|---|
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Section F – Legal Status (OPTIONAL)
Select one:
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Proprietary Firm ⃝
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Partnership Firm ⃝
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Private Limited ⃝
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Public Limited ⃝
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Others (Specify) ⃝ (NGO / Trust / Statutory Body / Association etc)[_________________________]
Section G – Financial Data (OPTIONAL)
Data pertains to Financial Year ending: [][][][]
| Indicator | Value |
|---|---|
| Consolidated Turnover | |
| Gross Profit (PBTID) | |
| Authorized Capital | |
| Paid Up Capital | |
| Net Worth | |
| Borrowings | |
| Share / Equity Price (if applicable) |
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Section H – Overseas Collaboration Data (OPTIONAL)
| Nature of Collaboration | Foreign Collaborator | From Which Country | Products / Services Covered |
|---|---|---|---|
| Joint Ventures | |||
| Technical Collaboration | |||
| Mktg. Agreement | |||
| Other (specify) |
Section I – Assistance Desired from Make in India (MANDATORY)
| Ours is a: | We are interested in: |
|---|---|
| Manufacturing in India ⃝ | |
| Marketing in India ⃝ | |
| Exporting out of India ⃝ | |
| Indian Company ⃝ | |
| Non-Indian Foreign Co. ⃝ |
Products / Services being considered: [______________________________]
Section J – Log In Details (MANDATORY)
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User Name (same as Email ID / section B): [___________]
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Password: [___________]
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Reconfirm Password: [___________]
[SUBMIT]