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1. Full Name *

Please enter your full name.

2. Organisation / Company Name *

If you are enquiring as an individual, indicate “Independent”.

3. Email Address *

Your primary email for correspondence.

4. Contact Number *

Include country code.

5. Country / Region *

Where your organisation or project is based.

6. Which services do you require? *

(Multiple selection allowed)

7. Briefly describe your project or need *

Provide a short overview of what you want to achieve.

8. What is the primary objective of this project? *

9. Do you have existing systems or platforms that must be integrated? *

if Yes list them here

10. What key features do you require?

(For example: user accounts, dashboards, mobile optimisation, reporting tools, payment gateways, API integrations, learning modules, etc.)

11. Do you have existing content, data, or design assets? *

If yes or partial, indicate what is available.

12. Preferred project timeline *

13. Estimated budget range *

(This enables realistic recommendations and scope alignment.)

14. Who will be the primary decision-maker?

Provide names and roles if applicable.

15. Are there any compliance, regulatory, or policy requirements?

(Particularly relevant for public sector, education, finance, and health projects.)

/ need you

16. Any additional notes or specific requests?

(Anything not covered above.)

Company

Africa, Asia, Europe & South America
info@gantatech.com

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