MAF Request Form – Securenet Technologies Private Limited

Reseller/Partner Details

Company Name *

Contact Person Name *

Email ID *

Phone Number *

Company Address *

Partner ID / Reseller Level (if applicable)

End Customer Details

End Customer Legal Name (exact match to tender documents) *

End Customer Country and Full Address *

Sector (Public/Government or Private) *

Tender / Project Specifics

Tender Name / Project Title *

Tender Reference / Procedure / Bid Number *

Tender Submission Deadline *