Global Dealer Registration Form

Global Dealer Registration Form
SECTION 1 — COMPANY DETAILS & LEGAL INFORMATION

Legal Business Information & Business Region Interest
Company Legal Name
Trading Name
Country of Registration
Registration Number / CIN / EIN
Year of Establishment
Business Type

Other
Tax ID / VAT / GST / Equivalent
Website URL
Main Office Address (Country, City, Postal Code)
Select Region(s) of Interest
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 NameLast 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

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?
Specify the segments you actively engage with:

Other
SECTION 5 — PROJECTS & CLIENT CREDENTIALS
Key Projects Completed - Project Name
Key Projects Completed - Year
Key Projects Completed - Region
Key Projects Completed - Scope / Deliverables
Upload Supporting Files for Key Projects

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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?
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?
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?
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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Europe / UK - VAT Registration Copy

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Europe / UK - GDPR Compliance Acknowledgement
Europe / UK - Local Distributor License (if applicable)

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Asia / APAC - Import / Export Code
Asia / APAC - Local Regulatory Approvals (Country-specific)

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Middle East / Africa - Free-Zone Registrations (if applicable)

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Middle East / Africa - Local Trade Licenses

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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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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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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.
Full Name

First NameLast Name
Role / Designation
Date

DayMonthYear
Date
Digital Signature
Should be Empty:

Global Dealer Registration Form

SECTION 1 — COMPANY DETAILS & LEGAL INFORMATION

SECTION 2 — OWNERSHIP & MANAGEMENT

SECTION 3 — BUSINESS PROFILE & MARKET PRESENCE

SECTION 4 — INTERNATIONAL EXPERIENCE & NETWORK

SECTION 5 — PROJECTS & CLIENT CREDENTIALS

SECTION 5 — PROJECTS & CLIENT CREDENTIALS

SECTION 6 — TECHNICAL & SUPPORT CAPABILITIES

SECTION 7 — SALES & MARKETING STRATEGY

SECTION 8 — FINANCIAL CAPABILITY

SECTION 9 — REGIONAL COMPLIANCE & CERTIFICATIONS

SECTION 10 — DOCUMENT UPLOAD CHECKLIST

SECTION 11 — DECLARATION & SIGNATURE