DISTRIBUTOR/DEALER APPOINTMENT APPROVAL FORM Viability of the Town( Where Retail DB is Located)

TOWN NAME JAMBUSAR Name of the Town

DISTRICT NAME BHARUCH Name & HQ of SR Town Name(SR)
TERR HQ BARODA Name & HQ of ASH/SO/SR Town Name(SO)
Population ( in lacs) 65K ASH/SO/SR SR Cost
STATE GUJARAT Distance from HQ Town KM
ZONE BARODA UPC MAN DAYS 4
SALARY 0
DB NEW NAME DAILY ALLOWANCE 800 0
DB
TRAVEL COST 0 0
Type(DED/GDS/EDS/CSS/SDS/RDS
DB REPLACEMENT TOTAL COST 800 0 0
NEW PARTY DETAILS -AGENCY
Business Value per Month(Rs) 1,00,000 State Bench Mark
LINES
NAME OF COMPANY BRAND OUTLETS COVERED Turnover Rs/pm % expenditure cost 0.00%
SUHANA SUHANA 300 3 Lacs Business Volume( in units)
KHAMNDESHI MASALA KHAMNDESHI MASALA 300 2 Lacs
ISMAIL BIDI ISMAIL BIDI 300 3 Lacs
DB: Retail Distributor
SS : SUPER STOCKIST
AREA ASSIGNED TO NEW PARTY
JAMBUSAR Category of Town Exp Business / month
Metro >=2 lacs
Town Category Urban 1.75 lacs
Sub-Urban 1.5 lacs
BUSINESS EXPECTED - BY 3RD
Rural 1.25 lacs
MONTH
VALUE/MONTH
PRODUCT VOLUME/MONTH(units) Service Details Nos Check list of to do Activities
(Lacs)
What is the Firm Constitution ? ( Please
Indicate Name / Shareholding of Partners
AA 0 1 No of Retailers 100
) Regd Pvt Limited
Company/Proprietorship
AAA 0 No of W/S 20
Is there any likelihood of difficulties
MOS BAT 30 13,000 emanating from the constitution of the firm (Y/N)
?
Have you shared with him the Key
LED 1,200 70,000 Deliverables ? ( Annual Target / DB (Y/N)
scheme / ROI / Product wise Target)
DORCO 0
Has he understood Our Terms &
TOTAL 1,230 83,000 TOTAL 120 (Y/N)
Conditions of Sale / Margin ?
CONTACT DETAILS OF NEW PARTY Credit Days Offered in the market ?

NAME OF PARTY : Vehicle - 3 wheeler

CONTACT PERSON : Vehicle - 2 wheeler 2 Has the Party been met by ASH/ RSH ? (Y/N)

Vehicle - 4 wheeler 1
Brief Synopsis of Other DBs who were
Warehouse (Sq.ft) 600 Shortlisted Before this DB has been firmed
up by ASH
ADDRESS : Computer(Y/N) ? y
 Computerised
Y
S/W(Y/N) ?

Delivery Staff ( Nos.) 2

Can the Customer invest and scale up to

the promised Turnover? The Customer will
Expected Investment in forward years Yes/ No ?
be on advance for the first 3 months and
then go into credit after next 3 months

TEL NO :
MOBILE NO : 9904194935 FOR SDS APPOINTMENT DETAILS OF SS
APOINTMENT
EMAIL ID : SHAIFAGENCY@GMAIL.COM Rural Distribution Town Name EXPECTED VOL/MONTH EXPECTED VAL/MONTH No of Retailers
SCHEDULE
GST NO : 24BYGPS3071L1Z3 25,000 1,00,000 50
PAN NO : BYGPS3071L 0
ADHAAR NO : 932155613252 0
BANKER NAME / BRANCH AXIS BANK- JAMBUSAR 0
DETAILS OF PARTY REPLACED - IF
0
ANY
PARTY NAME 0
DB/SS 0
AREA COVERED 0
WORKING SINCE 0
LAST PURCHASE (MONTH) 0
6 MONTHS AVG VALUE Rs : 0
CREDIT /DEBIT BAL Rs 0
REASONS FOR LEAVING 0
APPROVAL 0

ASH / SO : ABHAY KULKARNI 0

RSH Name:
HEADQUARTER : BARODA 0