SUNRISE VICTUALS PRIVATE LIMITED

NEW DISTRIBUTOR REGISTRATION

Domestic / Overseas

Type of Distributor
(Dealer / Stockist)

Major Agency Held

(Name of the Company)

Sales Representative

Distributor Name M/s.

Registered Office Address

with PIN Code

Communication Address
with PIN Code
(If vary from Registered
Add.)

Supply / Invoicing address

instead of communication
address if it is different

Managing Director / Owner Person to be contacted for all

Contact Person(s)

Telephone No.1

Telephone No.2 Paste

Passport
Mobile No. Size
Fax No. Photograph

E-Mail Signature
Name of Banker

Account No.

Address

Payment Terms

PAN No.

GST NO.
(Please attach certificate copies)
SVPL/Sales/01
 SUNRISE VICTUALS PRIVATE LIMITED
NEW DISTRIBUTOR REGISTRATION

FSSAI Certificate
(Please attach certificate copies)

Security Cheque (Please attach copy)

Overall Turn-over for last 3

Financial Years

Other information(If any)

Please complete the above Distributor Registration Form with all details and our company
official will verify and evaluate your status as approved Vendor with our organization.

Signature & Company Seal Sales (HOD)

(Distributor) (Sunrise Victuals Pvt Ltd)

(For Internal Use Only) To be filled by SVPL

01 Distributor Code Number

02 Distributor Category

03 Awarded Class

04 Including Official Name

05 Approving Official Name

SVPL/Sales/01