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KUDOS AYURVEDA

16-RAJENDRA PARK, FIRST FLOOR, NEW DELHI.-110060.

DISTRIBUTORS/DR.S/DIRECT DEALERS PROPOSAL FORM


1.

NAME OF FIRM / DR. NAME_________________________________________________________________________

2.

ADDRESS WITH DR. REGISTRATION NO. ____________________________________________________________

3.

NAME OF PROPRIETOR ____________________________________ MOB.___________________________________

4.

CONTACT PERSON _________________________________________ MOB. __________________________________

5.

TELEPHONE NO ___________________________________________ TIN NO _________________________________

6.

E MAIL ID :- _______________________________________________ BANKER_______________________________

7.

BUSINESS DETAILS :- COMPANY NAME


PRODUCTS
MONTHLY TURNOVER
A) _________________________________________________________________________________________________
B) _________________________________________________________________________________________________
C) _________________________________________________________________________________________________
D) _________________________________________________________________________________________________

8.

NATURE OF BUSINESS :-(A) COUNTER SALE + DISTRIBUTION. (B) COUNTER SALE ONLY. (C)
DISTRIBUTION ONLY.

10. NO. OF SUPPLY POINTS. _____________________________________________________________________________


11. PAYMENTS TERMS OF SUPPLY IN MARKET :LOCAL:-

(A) AGAINST DELIVERY :-____________________ (B) NO. OF DAYS CREDIT :-______________

OUTSTATION:- (A) AGAINST DELIVERY :-_____________________ (B) NO. OF DAYS CREDIT :-______________
12. PROPOSAL FOR _____________________________________________________________________________________
13. AREA OF OPERATION _______________________________________________________________________________
14. INFRASTUCTURE DETAILS:- (A) NO. OF SALESMAN _______________ NO. OF DELIVERY MAN____________
(B) DELIVERY VEHICLE ______________________ TYPE OF GODOWN _____________ VAT ________________
(C) INITIAL INVESTMENT IN KUDOS BUSINESS _____________________________

OCTROI % ____________

I/WE agree to give initial payment of Rs. __________ Vide cheque No.____________ Date ________Drawn on______________
Bank, you are requested to dispatch the goods as per our Order No ____________through_____________________ Transport.
We understand that goods once purchased by us will not be returned, except any manufacturing defect.
Any dealing in cash/stocks with company field staff/personal would be at the sole discretion, risk and responsibility of the
Distributor and the company shall not be liable for such transaction nor shall have any financial obligation/ responsibility for
the same.

For Office Use :Approved By :Date :-

SIGNATURE & STAMP OF DEALER


Date :-

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