SecureSynergy Pvt Ltd
SecureSynergy Retail Partner Program (S2RP)
Please print this form and fill
 
 
ENROLL HERE
 
* mandatory
 
 
Name of the Organisation*: ____________________________________________________
Your Name*: __________________________
Designation*: __________________________
Phone*: __________________________
Fax: __________________________
E-mail*: __________________________
Cell phone: __________________________
Type of the Organisation*
[ ] Proprietary
[ ] Partnership
[ ] Private Limited
[ ] Limited
Office Address*: __________________________
City*: _________________________
State*: ________________________
Pin*: __________________
Year of Establishment*: __________________
Number of Branches (if applicable):_______________
 
 
Do you have a Retail outlet*
[ ] Yes [ ] No
 
 
Do you have Internet Access at*
[ ] Office [ ] Home [ ] None
You use Internet access for*:
[ ] Email [ ] Browsing [ ] Shopping [ ] None
 
 
Number of Employees*
Sales ……………
Service ……………
Admin ……………
Others ……………
 
 
Financial Year 2001-02 Turnover
[ ] < 1 Cr [ ] 1-3 Cr [ ] 3-5 Cr
[ ] 5-10 Cr [ ] 10 Cr [ ] > 10 Cr
 
 
You are in the business of *
[ ] Hardware [ ] Software [ ] Peripherals [ ] Services
 
 
% Turnover in Hardware
[ ] 1-25% [ ] 26-50% [ ] 51-75% [ ] 76-100%
% Turnover in Software
[ ] 1-25% [ ] 26-50% [ ] 51-75% [ ] 76-100%
% Turnover in Peripherals
[ ] 1-25% [ ] 26-50% [ ] 51-75% [ ] 76-100%

% Turnover in Services
[ ] 1-25% [ ] 26-50% [ ] 51-75% [ ] 76-100%
 
 
What are your Sale Methods?*
[ ] Direct Outbound Sales
[ ] Retail/Shop sales
[ ] Reselling to other Channels
[ ] Call Centre/Direct mail sales
 
 
Distributors you currently work with*
[ ] Ingram Micro
[ ] Tech Pacific
[ ] Redington
[ ] Savex
[ ] Neoteric
[ ] Others
………………………………………………………… If others, please specify
 
 
What is your %age Sales in each of the markets mentioned?*
Large Business (>250 PCs) ……………
Medium Business (50-250 PCs) ……………
Small Business (1-50 PCs) ……………
Government & Education ……………
Home Users ……………
 
 
What %age of your business are the following?*
Assemble, Integrate & Sell PCs ……………
Sell Branded PCs ……………
Sell Packaged Software ……………
Sell Printers and Peripherals Like CD Drives, Multimedia Kits etc. ……………
Sell Antivirus products ……………
 
 
Do you have experience in selling Antivirus products in the past?*
[ ] Yes [ ] No
 
 
Details of brands
Brands Nos. sold in year 2002-03
McAfee ………………………………
Norton ………………………………
Trend Micro ………………………………
Microworld ………………………………
Others ………………………………
 
 
Please provide us with your three key customer references
(this would help us to know more about your organization's profile & service levels)
 
                           REFERENCE 1                           REFERENCE 2                           REFERENCE 3
Co Name* _______________________      _______________________       _______________________

Address    _______________________      _______________________       _______________________

                _______________________      _______________________       _______________________

Phone       _______________________      _______________________       _______________________

Fax           _______________________      _______________________       _______________________

Email        _______________________      _______________________       _______________________
 
 
 
 
Please note that any wrong representation of data or insufficient information may result in cancellation of your Partnership with the S2RP Program.
 
 
 
 
 
SecureSynergy Pvt Ltd - Marketing
# 501, Acme Plaza, Andheri-Kurla Rd, Andheri (E), Mumbai - 400059, India
Tel: 91-22-28258825, 28259996 Fax: 91-22-28251242 E-mail: info@securesynergy.com