TERiX Partner / Reseller Registration
Company Name *
Legal Name of the Company *
Company Trading Name *
Contact Person Name *
Contact Person Email *
Contact Person Phone *
Company Legal Address
Address *
City *
State *
ZIP / Postal Code *
Fixed Phone Number
FAX
Company Physical Address (if different from Company Legal Address)
Address
City
State
ZIP / Postal Cod
Fixed Phone Number
FAX
Escalation Matrix Contact Details
Contact 1 Name
Contact 1 Email
Contact 1 Phone
Contact 2 Name
Contact 2 Email
Contact 2 Phone
Contact 3 Name
Contact 3 Email
Contact 3 Phone
Company Details
Support Type *
Required
Company Establishment Date *
MM
/
DD
/
YYYY
Gross Annual Sales
Legal Structure *
Required
Business Licence No.
PAN NO.
GST NO.
How many years in business?
Total number of employees *
Required
Annual revenues
Technical Employees
Technical Type
Website URL
SLA & Help Desk
Geographical Services Coverage Area (Direct)
Geographical Services Coverage Area (Partner Model)
Mention List of SLA
Do you have your own help desk centre?
Clear selection
Is the helpdesk 7x24x365?
Clear selection
Services
Do you provide resources for FMS / Managed service
Clear selection
BMS Services
Clear selection
FMS / Manage service for One-Time activity
Clear selection
Countries you can provide resources for FMS / Managed service
Engineers on Contract Basis
Clear selection
L1 engineers with back-up resource?
Clear selection
AMC for End User computing (Desktop, Laptop, Printer, Scanner, UPS)?
Clear selection
What SLA you can cover for EUC AMC?
AMC for Server, Storage, Networking, Tape library?
Parts only for AMC support?
Clear selection
Stocking Location / Warehouse
Parts Sale / Rental / Leasing / IT dispose / Depot Repair
Clear selection
OEM Partnership
Are you partner with any OEM?
Clear selection
If yes, List the OEM
Bank Details
Partner Legal Name
Address
City
Postal Code
State
PAN No.
Account Holder Name (Company Account)
Bank Name
Bank Address
Bank country
Bank Branch
Bank Key (IFSC Code)
SWIFT Code
Bank account number
Authorised Signatory Details / Partner Details
First Name
Last Name
Job Title
Fixed Phone Number
Contact Email ID
Corporate Email ID
Cell / Mobile No
Additional
Anything you want to add, which is not specified in the form
Action Items
TERiX to finish technical review and business review and determine then award qualification.

This process is shorter when all information is available and answers specific questions fully. TERiX is interested in your skills and mapping our relationship completely.

Additional contacts will be provided/exchanged as action items dictate by function/business area.

Thank you once again for your participation and we look forward to understanding more about your organization and its value proposition to clients and partners.
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