APPLICATION FORM FOR

Stockist

Super Stockist

Business Name:

Contact Person:

Designation:

Address:

City:

Pin:

State:

Phone:

Fax:

Mobile:

E-mail:
Name & Address of Bankers:
Central Sales Tax No.:
Local Sales Tax No.:
Nature of Firm:
(Proprietorship/ Partnership/ Others)
Present Areas Covered:
Distribution Facilities:
(Delivery Van/ Auto/ Tricycle/ Others)
Name of the Products
Dealing at Present:
Annual Turnover (Rs.):

No. of Staff:

 

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