Registration

Distributor Application Form
Name of the Firm / Company*

Nature of the Firm ( Proprietorship / Partnership / Limited Company etc )

The Year of Establishment

TIN Number

Full Address

Contact Number*

Email*

Name of the Managing Partner / Contact Person*

Mobile Number of the Contact Person*

Designation of the Contact Person

Number of Employees

Name of the Bank

Distribution Business Details
Name of the Company	Products	Number of Routes Covered	Outlets Supplied	Year of Association	Current Monthly Turn Over	Last Financial Year Turnover







Total

Number of Sales Persons

Number of Office Staff

Total Number of Employees

Number of Vehicles used for Distribution

Total Area of the Warehouse

Other Business Handled

Approximate Yearly Turn Over of other Business

Remarks: