Form No:1

INNOVA AGRI SOLUTIONS

1ST FLOOR, H. NO.22/D-II, M.A JOHAR
TOWN, LAHORE
Ph: 0494388444,4388445,4388446
E-mail: info@innovapakistan.com

CUSTOMER ACCOUNT OPENING FORM.

DATE: ACCOUNT #

I hereby apply for franchise/dealership of Innova Agri Solutions following are the information as required by the company:

REGION: ZONE: AREA:

Proprietor Name:

Business Name:

Address:

Telephone/Mobile #: CNIC:

Sales Tax #: (If any)

Accountant: (If any)

Status: Ownership is a: Sole Proprietor Partnership

Entity is a: Dealership Franchisee

(Please mention below the List of Authorized Person)

Name Father's Name CNIC # Signatures Cell No.

1.

2.

3.

Agri Dep’t License # of proprietor: Dated:

Valid From: To:

Tehsil: District:

Initial Deposit Detail: Bank:

Value Rs: Date:

Documents to be attached with the application Form:

1) Two Passport Size Photo of Proprietor.
2) CNIC Copy of Proprietor.
3) Copy of Valid License from Agriculture Department.
4) Authority letter of license holder in case of other than proprietor on Rs.50/- Stamp paper.
5) Two Cheques of Proprietor.(i) Guarantee/Security (ii) Blank
6) Signature verification form from Bank
7) Copy of partnership Deed (in case of Partnership ) 2 Cheques of each Partner
8) Guarantee form.
9) List of authorized Persons with CNIC Copies for receiving goods.
10) D.D/P.O in favour of "INNOVA AGRI SOLUTIONS".
11) Terms & Condition Form.
I/We declare that all the information given above in the application are correct to the best of my knowledge.
I/We undertake that if in case of rendering false information shall be liable to legal action with cancellation of application.

Proprietor Signature & Stamps:

Name: Signature:

Name: Signature:

Affix your official shop stamp in the next box

FOR OFFICIAL USE ONLY:

S.O/T.M/A.M RSM/Z.M S.M/B.M D.M Sale/ Manager A/C