Dealer Information Form

Name of the Applicant:
Telephone No. :
(O) (R)
Authorized Person’s Name:
No. Partner/Director Name Relation Address Phone No Age
Sales Tax No.  Local No : TIN 
      CST No :
Present Business / Occupation:
Present Business Status :
(A) C & F (B) Distribution (C) Dealer
How long in Business:
Present Business Facility:
(A) Showroom (in Sq. Ft.)
(B) Office (in Sq. Ft.)
(C) Go down (in Sq. Ft.)
Manpower Strength:
(A) Sales & Marketing:
(B) Service:
(C) Office:
(D) Go down:
Presently Associated with:
No. Company Name Status How long with Company Yearly Turnover
Total Yearly Turnover:
Banker’s Name:
(A)  Branch:
(B) Branch: