Professional Documents
Culture Documents
1 This application form comprises of 6 pages including this cover page. Kindly fill up all pages of the form.
2 Kindly fill out the grey areas of the form. Once filled , please send the document to respective sales person along
3 Incomplete application will not be considered. Please ensure that the scanned document copies are clear else the
4 Kindly ensure that the application is sent before timeline. Please ensure to accept an acknowledgement copy from
5 The form is self explanatory and easy to fill. However, in case of discrepancies, please reach out to the concerned
6 Please ensure the details provided are true. Incorrect details will be liable for termination of agreement. Revos re
7 All details are meant to be confidential for Revos and the applying candidate
8 Application submission is taken as an expression of interest for being a channel partner with Revos. It does not g
9 Submit any necessary annexure in support of data filled in application form for all relevant information as applic
hannel Partner Application
Compant Name
Applicant Name First Name
Date of Birth Date
Contact Information
Office Address
Pin Code
Residential Address
Pin Code
Phone Number
Email
Website
Preferred Address of communication (Residence/ Office)
City
SOCIAL ACTIVITIES
IMPORTANT
- Resumes or CVs can be attached for detailed information of applicants' detail (Softcopies should be self attested)
- Certificates, photographs or news clips can be requested for social activities
POSITION
END
ested)
EXISTING BUSINESSES
I. Business 1
COMPANY PROFILE
SHAREHOLDING STRUCTURE
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Total
Loans
Equity
IMPORTANT
- Please attach balance sheets and profit & loss statements of each company for the last 3 years
- Attach lates CA Certified shareholding structure
- Other certificates to prove performance and credit can be requested before contract
- Please provide copy of PAN card, Aadhar, GST number and Trade license/ agreement
ING BUSINESSES
RELATION- ROLE/ % OF
SHIP POSITION SHARE
Self
Self
Self
Year
2017-2018 2018-2019 2019-2020
FINANCIAL STATUS
CURRENT
ASSETS NON-CURRENT ASSETS
NAME TOTAL
(MOVABLE (IMMOVABLE ASSETS)
ASSETS)
Total
KEY REAL ESTATES OWNED BY THE APPLICANT AND CO-APPLICANTS/PARTNERS (in Rs Lacs)
DESCRIPTIO CURRENT
OWNED BY MORTGAGED
N MARKET VALUE
Total
IMPORTANT
- Attach CA certified Networth statement of key applicant and proposed shareholders.
- Last CIBIL or CRISIL report of all directors and companies may be requested after interview
- Certificate from your main banker in support of your financial capability and soundness can be
requested before contract
ERS (in Rs Lacs)