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Online Form For Empanelment Of Survey Agencies/Firms For Conductig Surveys
Name of Agency/ Organisation :
Address :
House No. & Street Name
Country
State
District
Pin
Year of Incorporation:
Annual Turnover (Last three years):
Type of Agency :
PAN No. :
GST No. :
Contact Person :
Name
Email
Phone
Whatsapp No.
Category of Survey in Which empanelment is Desired:
Select Category of Survey
Only Offline/Direct Physical mode Surveys
Only Online /Digital mode Surveys
Both Offline/Direct Physical mode and Online/Digital mode surveys
Total number of Own Branches - All India:
Total number of Franchisees - All India:
Staff Strength on payroll :
Total Number Of Staff :
Number Of Managerial Staff:
Number Of Supervisors:
Number of Permanent Investigators:
Only '.pdf' Allowed.
(Please upload the list of staff strength. Only '.pdf' Allowed)
Type Of Surveys Conducted:
Type of Surveys Conducted
Skill Surveys
Household Survey
Enterprise Survey
Enterprise Survey
Experience in conducting Online/Digital mode Surveys
Number of conducting Online/Digital mode Surveys The Last 5 Years :
Only '.pdf' Allowed.
(Please give details of maximum 5 major surveys executed during the last 5 years.Only '.pdf' Allowed)
Experience in conducting Offline/Direct Physical Mode Surveys
Number of conducting Offline/ Direct Physical mode Surveys conducted in the last five years :
Only '.pdf' Allowed.
(Please give details of maximum 5 major surveys executed during the last 5 years.Only '.pdf' Allowed)
Total number of clients:
Only '.pdf' Allowed.
Declaration
I hereby acknowledge that I have read, understand and agree & other terms & conditions of this empanelment process.
I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. I understand in case the information is found to be incorrect it may result in the rejection of my empanelment application.