1.

NAME OF THE COMPANY/ FIRM / PROPRIETOR
  Local Sales Tax No. & Date
  Central Sales Tax No. & Date

2.

ADDRESS OF YOUR COMPANY / PROPRIETOR

  Telephone No.
  Fax No.
  Email Add:
3. NAME OF PARTNERS / DIRECTORS
4. NAMES, ADDRESSES & RESIDENCE
PHONE NUMBER OF PERSON IN CHARGE

5

EXISTING BUSINESS
  a. Type of Business
  b. Annual Turnover
  c. Paid Up Capital
  d. If agencies held, then names of the companies
6. EXISTING BUSINESS FACILITIES AVAILABLE
  a. Storage area and its address
  b. Office area and address
  c. Shop
  d. Rickshaw / Auto rickshaw / Van
  e. Showroom
  f. Trucks
  g. No. of working staff
  h. No. of salesmen / Salesgirls
  i. Display space available
  j. Advertisement facility
7. SELLING EXPERIENCE

Non-Consumer Durables: Yes No
If Yes, Items

Customer Services : Yes No
If Yes, Items
8. AREA FOR WHICH DISTRIBUTORSHIP IS REQUIRED
9. IF NO EXPERIENCE OR INFRASTRUCTURE IS AVAILABLE, THEN HOW DO YOU PROPOSE THE SAME
10. NAME OF ASSOCIATE / SISTER CONCERNS IN SIMILAR BUSINESS IF ANY, THEIR TURNOVER AND NAME OF THE COMPANIES FOR WHICH DISTRIBUTORSHIP HELD
11. a. Name and address of your Bankers
11.

b. Bank Facilities available

  
  C/C - Hypothecation
  L/C
  Bank Guarantee
12. REFERENCES (TWO), NAME & ADDRESS
13. IF REGULAR RETURN ON YOUR RISK AND INVESTMENT IS ASSURED, HOW MUCH INVESTMENT CAN YOU MAKE? (VALUE)
14. HOW MUCH CREDIT CAN YOU GIVE TO YOUR RETAILERS ?
15. ANY OTHER RELEVANT INFORMATION YOU MAY DESIRE TO SHARE WITH US.
 

We certify and confirm that the above given information is correct.
 
     
Note:
 
1. The above given information will remain with us in strict confidence.