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Firm Name

GST Number

PAN Number

Nature/Type of Concern

Nature/Type of Business

Mobile Number

Date / Time

Proprietor/Partner Name

Designation

Official Address

Address Line 1

City

State

Residential Address

Present Business Activities

Market Area's Covered

Weekly Off of Market

Present Infrastructure (Storage Space, Delivery Vehicles, Manpower, etc.)

Investing Capacity (In Rs. Lacs)

Annual Sales Turnover (in Lacs)

Preferred Transport

Numbers of Retailers Catered (by visit)

Details of agency of other brands that you are involved it

Interested in Products

Copy of GSTN

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Copy of PAN Card

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Any Photo id of Key Person (Adhaar Card, Driving License, Passport and Voter Id)

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I/We Hereby agree that all above information are true & correct. We also accept all terms & conditions above & are ready to work with you