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Organization Details
Buyer's Name
(Organization/Individuals): *
Address: *
Location: * Landmark: *
City: * State: *
Zip Code: * Country: *
Phone1: * Phone2:
Mobile1: * Mobile2:
E-mail1: * E-mail2:

Contact Details

Contact Person
 
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Chief/Head of the Organization      
 
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License Details

Product Name: * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 699 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 699 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 699 Serial No: *
Release: * TNS Expiry Date:

Service Type

Service Type: * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 727 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 727 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 727 Plan Type: * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 741 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 741 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 741
No Of Systems: *

Business Details

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How many locations does your customer operate from? * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 775 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 775 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 775
Type/Entity of organisation * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 791 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 791 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/new_customer.php on line 791
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Taxes applicable for the company and how returns are filed
Type Of Taxes E-filing Manual
Excise
Income Tax
Service Tax
VAT
Professional Tax
TDS
TCS

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The person whom you contacted in Brilliant technologies
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