BHAGIRATHI PRODUCTS

P-10 Rajlaxmi Sulzer Park, Thale Compound, Village Sonale, Bhiwandi 421302
GST:-27AALFB7951N1ZR
DISTRIBUTOR APPLICATION FORM - DETAILS OF THE FIRM
Party Name :
District Name :
Town Name :
Population :

Full Address of the Office :

Full Address of the Godown -

Telephone No.
Mobile No:-
Corporate Status : Proprietary
Full Name of the Director / Partner :
Email id:-
Established Since:-

Infrastructure & Coverage of the Firm :

I) Outlet Coverage (Nos.):

II) Godown Space & location :
III) No. of Salesman ( EDSM nos ) :
IV) Delivery Units ( Type & Number ) :
V) Delivery Persons ( Type & Number ) :
vi) No. of Office Staff :
vii) Computer / IT infrastructure (currently available) yes
No. of computers :
Billing Software (Please specify the name) :
Internet Connection :

Financial Status :

Funds available for trading in Bhagirathi business

Own Funds :
Bank Limit, if any :

NAME OF BANK -
BRANCH -
Sales Tax Registration / GST no. :

Name of the preffered Transporter :

Business Background :

Yearly Turnover
Companies Represented at Present Focus Products Distributor Margin
Previous Current
Do you have any relative in the company - Yes / No :

If Yes, please give following details :

Name Designation Address Relationship

Name and Signature of SISS/ASO : Name & Signature of the Applicant with stamp

For Internal Use Only :

Visited and shortlisted by ASO/ ASM
Name : Designation : ASE/ASM
Date of Visit : Signature :
Reason for Shortlisting :

Recommended by ASO/ASM/RSM/ZSM :
Name : Designation : ASM
Signature :

Approved by Sales Manager:-