Global Dealer Registration Form
SECTION 1 — COMPANY DETAILS & LEGAL INFORMATION
Legal Business Information & Business Region Interest
Company Legal Name
*
Trading Name
*
Country of Registration
*
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Registration Number / CIN / EIN
*
Year of Establishment
*
Business Type
*
Sole Proprietorship
LLC
Corporation
Partnership
Other
Tax ID / VAT / GST / Equivalent
*
Website URL
Main Office Address (Country, City, Postal Code)
*
Select Region(s) of Interest
*
North America
South America
Europe
Middle East
Africa
Asia Pacific
Preferred Territory / Country Focus
*
SECTION 2 — OWNERSHIP & MANAGEMENT
List of Owners / Partners (Name + % Ownership)
*
CEO / MD (Name, Role, Email & Phone)
*
Head of Operations (Name, Role, Email & Phone)
*
Head of Finance (Name, Role, Email & Phone)
*
Head of Sales & Marketing (Name, Role, Email & Phone)
Primary Point of Contact for Partnership - Full Name
*
First Name
Last Name
Primary Point of Contact for Partnership - Role / Designation
*
Primary Point of Contact for Partnership - Email
*
example@example.com
Primary Point of Contact for Partnership - Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
SECTION 3 — BUSINESS PROFILE & MARKET PRESENCE
Upload Company Profile (PDF/DOC)
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Business Model
Distributor
Retailer
Systems Integrator
Contractor
Value-added reseller
OEM Partner
Other
Existing Brand Representations - Brands Currently Represented
Existing Brand Representations - Duration of Partnership
Existing Brand Representations - Regions Covered
Existing Brand Representations - Category / Industry
SECTION 4 — INTERNATIONAL EXPERIENCE & NETWORK
Countries where you operate currently
Years of International Sales Experience
Local Offices / Support Presence (City, Country)
Warehouse / Storage Locations (City / Country)
Average Delivery Time to Key Regions
Customs / Import Documentation Support?
*
Yes
No
Specify the segments you actively engage with:
*
Architects
Interior Designers
Corporates
Builders & Developers
Acoustic Consultants
PMC's / General Contractors
Hospitality
Education
Healthcare
Government
Industrial / Manufacturing
Other
SECTION 5 — PROJECTS & CLIENT CREDENTIALS
Key Projects Completed - Project Name
Key Projects Completed - Year
Key Projects Completed - Region
Key Projects Completed - Scope / Deliverables
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of
SECTION 5 — PROJECTS & CLIENT CREDENTIALS
Major Clients / Partners - Client Name, Industry, Country
Provide atleast 3 Major clients / partners details
SECTION 6 — TECHNICAL & SUPPORT CAPABILITIES
Installation / Technical Team Structure - Total Workforce Count
Installation / Technical Team Structure - Technical Staff Available for Setup / Support
Installation / Technical Team Structure - On-the-ground Field Engineers (Region Wise)
Willingness to Participate in UniVicoustic Product / Brand Training?
Yes
No
Certifications Held (if any)
SECTION 7 — SALES & MARKETING STRATEGY
Local Sales Strategy - Monthly / Annual Sales Targets (for region)
*
Local Sales Strategy - Marketing Plan Outline (brief text)
Do you have Social Media Handles?
Yes
No
Website Traffic Stats (monthly)
Online Sales Platform (if applicable)
SECTION 8 — FINANCIAL CAPABILITY
Annual Turnover
*
External Credit Ratings (if available)
Bank References
Do you support large regional deals?
Yes
No
SECTION 9 — REGIONAL COMPLIANCE & CERTIFICATIONS
North America - DUNS Number
North America - Local Business Licenses (Upload)
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North America - US / Canada Tax Compliance Certificates
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of
Europe / UK - VAT Registration Copy
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of
Europe / UK - GDPR Compliance Acknowledgement
Yes
No
Europe / UK - Local Distributor License (if applicable)
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of
Asia / APAC - Import / Export Code
Asia / APAC - Local Regulatory Approvals (Country-specific)
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of
Middle East / Africa - Free-Zone Registrations (if applicable)
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Middle East / Africa - Local Trade Licenses
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of
Other Documents / Licenses
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SECTION 10 — DOCUMENT UPLOAD CHECKLIST
Business Registration Proof (Upload)
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Tax / VAT / GST Certificates (Upload)
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of
Audited Financial Statements (Last 3 Years) (Upload)
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Warehouse / Logistics Infrastructure Photos (Upload)
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Sales & Marketing Materials (Upload)
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of
Certifications, Licenses as Applicable (Upload)
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SECTION 11 — DECLARATION & SIGNATURE
I hereby declare that the information provided is accurate to the best of my knowledge.
*
I Agree
Full Name
*
First Name
Last Name
Role / Designation
*
Date
*
-
Day
-
Month
Year
Date
Digital Signature
*
Submit
Submit
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