Dealer Application

Name of firm 

Constitution

Office Address

Phone

Fax

Name & Res. Address of Prop / Directors



Mobile No

E mail

No of Yrs in Business 

CST No

Year of Establishment

  Name & Address of 
  Bankers

LST No

Turnover Last Year Rs

PAN No

Turnover  Last to Last



1. Pl. give details of the products dealt & services offered 

 

2. No of personnel employed

Sales

Service

Others



Show room   Office  Godown
 

Show room Area       Office Area     Godown Area 

Area  of Operation

Type of Clients     

Capital Employed  

Average Credit provided to your customers      

Facility enjoyed with your bankers              

Any other information you wish to provide 



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