Visual Communication Technology

		(This form is for screening purpose and does not construe any commitment from Sakata Inx (India) Limited) Name: Address: Office:(rented/ owned): Residence: Godown Storage Area Phone Fax: Email: Status: Public Limited Company Private Limited Company Proprietorship   Current Turnover (US$) (Rs. Cr) Currently dealer of: Name of Principal company Gravure Inks Offset Inks Other Inks Adhesives Films Cylinders Machines Others Total market size of proposed Area Number of customers Total quantity of Ink used Total Value of Ink used Sales projections for Sakata Inx (I) ltd. products in your area (figures in tons/year) Reverse Surface Offset Other Total Year-1 Year-2 Year-3 Can you furnish any of the following Value in millions Letter of Credit yes no Bankers Gurantee yes no Deposit yes no I on behalf of M/s do certify that the above information is true to the best of my knowledge