Professional Documents
Culture Documents
1. Name of proprietor:.............................................................................................................
3. Mailing address:...........................................................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
E-mail :.........................................................................................................................................................................
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5. Name of firm/company under which dealership will exist :........................................................................................
6. Status of firm (tick ) : Proprietorship Partnership LLP Limited / Private Ltd. Co.
(Partnership firms enclose copy of partnership Deed/ For LLP, deed of LLP, for Companies Memorandum Articles of
Association)
7. Details of Proprietor/Partners/Directors:
2.
3.
4.
9. Turnover : ....................................................................................................................................................................
DD/Cheque No.:..................................................................................................................................................
Bank: ...................................................................................................................................................................
Payable at :..........................................................................................................................................................
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11. Your current business (tick )
(I)..................................................... (ii)........................................................
(iii)...........................................................
13. Please indicate how much you wish to increase turnover with this dealership (*Rs. lacs):
........................................
16. Indicate number of persons employed in your firm (including active partners) ........................................................
17. (a) If you are dealing cement specify since when have you been in the cement/wall putty/plaster trade.
.................................................................................................................................................................................
(b) If you have discontinued dealing in any brand(s) of cement/wall putty/plaster please specify the
reasons there to.
..................................................................................................................................................
.................................................................................................................................................................................
Town: ......................................................................................................................................................................
A/P : ........................................................................................................................................................................
District:....................................................................................................................................................................
Distance:..................................................................................................................................................................
(d) Monthly consumption of total wall putty/gypsum plaster of all brands in your town/city :……………………………
Place:.................................................. Date:........../........../..................
Signature of the applicant(s)
(with rubber stamp)
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Date: / /
To,
DECLARATION
I/We do hereby declare that the information furnished herein is true & correct to the best of my/our knowledge and
belief. For any incorrect information/false-information furnished herein and for non-compliance of company's policies
formulated, I/We agree that:
1. The Company shall have the absolute right to reject my/our application for appointment as a dealer.
2. The Company shall have the right to forfeit or adjust the whole or part of my/our Security Deposit with
them in the manner they may deem fit.
______________________
Signature of the applicant(s)
Witness :1............................................................................
.
Full name :...........................................................................
Address :.............................................................................
…………..............................................................................
…………………………………………………………………….
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FOR OFFICE USE ONLY
1. Location of business/premises :
2. Warehouse capacity :
(a) Area in sq. feet:.......................................... (b) Capacity in bags:.........................................
5. Market reputation and credibility : Excellent Very good Good Average Poor
10. Credit rating of party : Excellent Very good Good Average Poor
Signature:.......................................