Annexure I
WEBPUBLISHERS PROFILE
(To be submitted by agencies on their letter heads)
(i) Name of the Web Publishers
(ii) Full address of the Head office/other offices
Tel. Nos.
Fax No.
E – mail
(iii) Name of the contact person (with designation)
Tel. Nos.
Fax No.
E-mail
(iv) Year of Establishment
Legal status of agencies (Proprietor/Partnership/Private Ltd./Public Ltd.)
(vi) Have you served Coffee Board recently or in the past, if so, please attach copy of appointment
(vii) Infrastructure facility available with the agencies.
No. of persons working (separately for different offices)
Whether Art Dept. Exists.
No. of creative team members.
Number of Media experts
If the full-fledged studio exists (Details)
Any other.
(viii) Name of Managing Director, Directors and top management (separate sheet may be
enclosed with Bio-data and other details).
(ix) List of clients presently serving (public sectors/private sectors).
(Attach copies of Award Letters)
(xiii) Why do you think that you are suitable for empanelment with COFFEE BOARD?
I/we hereby certify that all the particulars given above are correct and true to the best of my knowledge.
Signature ____________________________________
Full Name ___________________________________
Designation __________________________________
Address_____________________________________
( Authorised Representative)
Note:
1. If needed, can use separate sheets for explaining the above points.
2. COFFEE BOARD reserves the rights to verify the facts given by the agency, with the authorities, if so required.
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