DETAILS OF FIRM

Name Of Firm

Mobile Number

Fax Number

Website

Contact Person

Address

Corporate Status
Public Ltd. Pvt. Ltd. Partnership Proprietor

Functioning Since

FINANCIAL STANDINGS

Capital Investment

Total : Rs.

Working Capital : Rs.

To be invested : Rs.

Name of the Bankers

Bank Account No.

C.C. Limit

Sales Tax Registration

Central

State

Financial year ends on

Annual Turnover of the Firm Rs.

App. Total Value of Fixed/Variable Assets owned by Firm Rs.

Products Handled

Consumer, Institutional Financial facilities

Any other business

SELLING ORGANISATION

Name of Shop Incharge

No. of Sales Staff

No. of Demostrators / Canvassars

SERVICING SET-UP

No. of Mechanics/Electricians

No. of Mechanics experienced in Servicing of Appliances

SALES POINT

Location
Residential Wholesale Market Retail Market Main Road

Size

Frontage :

Depth :

Total Area

STOCK POINT

Godown Location

Do you have own godown
Within Away from sale point

Godown Size

width

mtrs

Total Area

Sq.mtrs.

Name of the Preferred Transporters (Consumer, Institutional Financial facilities)

EMPLOYEES IN THE COMPANY

product handled

DECLARATION

I / we certify that the foregoing information is correct and complete to the best of my / our knowledge and belief and nothing has been concealed. If at any time, I / we have concealed any material / information or given any false details, our appointment shall be liable to summary termination without notice or compensation.

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Place

Dealership Application Form

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