Dealer/Distributor/Superstokists Registration Form

1-Name of the Firm:*
a-Address:*
b-Pincode:*
c-Contact details:
(Office)
(Mobile)
(Email Id)
d-Sales TAX, CST, TIN no.Please enclose copy(Pdf, jpg,png only)*
2-Showroom*
Yes No
3-Godown/Warehouse*
Yes No
4-Bank Details with Name & Address*
a-If you have any Bank limit*
5-Constitution of the firm:*
a-Name of the key person with designation.*
6-Your turnover as per last balance sheet.*
7-List of Retailers/ Dealers you are covering. *
8-Area you are working.*
9-Nearest transport of your godown.*
10-How may sales/delivery person available with you.*
11-In which companies you have deal?*
12-From where do you know about our company?*
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