DISTRIBUTORS PROFILE

NAME OF THE FIRM M/s______________________________________________________________________

ADDRESS:-_________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

PHONE Nos. WITH S.T.D. CODES:-______________________________________________________________

FAX No.______________________________________E- MAIL I.D.____________________________________

NATURE OF FIRM:- (PROPRIETORSHIP / PARTNERSHIP / Pvt. Ltd. / LIMITED) PL. TICK

NAME(S) OF OWNER(S):-

NAME DESIGNATION ADRESS & PH. Nos.

YEAR OF ESTABLISHMENT:-______________________ NET WORTH OF COMPANY____________________

GODOWN / COLD STORAGE DETAILS:-

A) ADDRESS:-_______________________________________________________________________________

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B) AREA:-_______________________ Cubic Feet

C) REFRIGERATION AVAILABLABILITY:- YES / NO (Pl. Tick)

NAME AND ADDRESS OF BANKERS:-____________________________________________________________

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VAT / C.S.T. No._______________________________DT____________________________________________

TOTAL TURNOVER OF THE FIRM IN Rs.__________________________________________________________

(IN THE LAST FINANCIAL YEAR)

COMPANIES DEALING WITH:

COMPANY PRODUCTS SALE PER MONTH

MANPOWER AVAILABLE: SALES__________________OFFICE__________________DELIVERY______________

TRANSPORTATION VEHICLES: REFRIGERATED______________________NORMAL_______________________

AREAS / TOWNS COVERING:___________________________________________________________________

___________________________________________________________________________________________

AMOUNT INVESTING IN OUR WORK Rs._________________________________________________________

APP. BUSINESS EXPECTED FROM THE AREA Rs.___________________________________________________

ANY OTHER RELIVANT INFORMATION:__________________________________________________________

CREDIT LIMIT:_________________________________________

STAMP & SIGNATURE O

RECOMMENDED BY R.S.M. MKTG. CHIEF APPROVED BY

NAME / DESIG. / H.Q. VICE PRESIDENT

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RESS & PH. Nos.

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DEALING FROM (Dt.)

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P & SIGNATURE OF PARTY

OVED BY

PRESIDENT