Distributor Enquiry Form
Name of the Proprietor/Partner
 
Fathers Name
 
Prop./Partner/Directors/ Name & Residential Address With Phone No
 
Contact Number
   
Address
 
Email
   
Fax
If run by the Manager(Name and Contact Number)
Date and Year of Establishment
Existing Business Type
 
Current Experience
 
Name of Organization/Firm
 
GST Number
   
Aadhar Number
 
Pancard Number
 
Details of Van/Autos
No.of Sales Persons
If any Institution
Details of cheque issued/security
Proposed Investment on Our Product
Godown Address
 
Infra Structure (Godown) Size
Vehicle
Preferred Area
Taluk
District
State
Security Deposite
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Upload Details if TIN NO./CST/LST
Upload Address/ID/Bank Pass Book copy