As an outstanding advisor with ING Vysya Life, you have ably partnered our endeavour to enhance the very quality of life. In turn, we at ING Vysya Life have constantly innovated to help you acquire new customers by offering you a strong sales support platform. Now, as one of our valued advisors, we offer you an opportunity to have your own web presence to reach out to prospective customers, as a part of a prestigious internet project. The only pre-requisite for selection being internet savvyness and an inherent desire to provide the best quality life insurance advice to individuals. Just complete this online questionnaire latest by July 16th 2005. And if you are the chosen one, we will get in touch with you shortly. * Fields are mandatory
1) Your name* :
2) City* :
Select
Bangalore
Hyderabad
Chennai
Delhi
Mumbai
Ahmedabad
Calcutta
Pune
3) Branch Code:
4) Sales Manager (reporting to) :
5) Date of Birth* :
Date
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Month
January
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6) Mobile (if not available then Residence No.) * :
7) Email ID* :
8) How often do you use the Internet?*
Select
Daily
Weekly
Once a month
Once in two months
9) What do you use the Internet for?*
Select
Surfing
Email
Chat
eCommerce
All of the above
10) From where do you access the Internet?*
Select
Home
Office
Cyber Café
11) On which Indian site can you bid for Air tickets?*
Select
eBay India (bazee.com)
Hotmail
Indiatimes
Yahoo
other:
12) Have you ever done a Credit Card/ Direct Debit transaction on the internet?*
13) Have you ever used your banks online banking facilities?*
14) Would you like to have a presence on the Internet, which can help you add to your client list and increase your revenues?*
15) Would you be comfortable responding to the queries of potential customers if they were to pose questions to you on the Internet?*
16) Have you heard of Blogging?*
17) If ‘Yes’, what do you understand by Blogging?*
18) Please write a short note about yourself, describing you as a person. Eg About your interests, your hobbies, your family etc.* (maximum 1000 characters)
19) Attach your photo:
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