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Client Information Form 23-Jun-20

Sr. No Particulars Description of business Remarks - general


Details to be mentioned whereever
applicable:
1 Name of the Company
2 Name of the Dignitary / Officer
3 Position / Designation in the Company
4 Province / Country - Head Quarters
5 Contact Information (Email / Phone)
Business presence / operational at
6
Country(s)

7 Telecom business segment / type


( specifics required )

Business vintage-
8
(Year of Establishment)

Approximate Business Volumes in USD Per


9
Year

Are you a vendor for any telecom


10
operators: ( specify in which country(s)

Are you a register vendor of MTN ( if so


11 please specify the vendor registration
number of MTN)

PROJECT REQUIREMENTS / OBLIGATORY at IMPLEMENTATIONS in affiliation with HUAPTEC

Local operations/distributions include Details to be mentioned


operations being able to answer the
following local activities: whereever applicable:

Capacity to warehouse in-country the


12 antennas, repeaters, combiners or other
accessories

13 Capacity to perform in-country local


transport

14 Capacity to perform custom clearance

15 Local currency invoicing

Bank guarantee for performance /


16
implementation etc, ( specifics )

Distributor mark-up (in %) - To MTN is


17 looking for solution with a low Total Cost of
Ownership (TCO) offering.
Company registration ID :
18 (to be
attached )
19 Any additional comments ( please specify )

Projects of HUAPTEC with MTN PLEASE FILL THE INFORMATION ONLY IF YOU ARE OPERATIONL AT ANY OF THE SPECIFIED
Regions / Country wise COUNTRIES
Customs Duty - ( import duty % required product
Import license of Telecom wise/ country wise )
signal equipments and
accessories -
SAARC If operational in these countries ANTENNAS REPEATERS COMBINERS

Please mark - Y ( or ) N
If available mark - Y (or) N HS CODE: HS CODE: HS CODE:
country wies 8517707090 8517629900 8543709990

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