Distributorship

Firm Name :

Owner's Name :

Shop Act License No. :

(Attach Copy)

Aadhar Card No. :

PAN Card No. :

(Attach Copy)

Bank Details

1. Blank Cheque No. Of Sleeves For Security

2. Bank Statement Of previous 6 months

Bank Name :

Bank A/C No. :

IFSC Code :

Branch :

Personal Contact Details : (Phone and Email)

Name Of Companies :

Monthly Turnover : (In Lakhs)

No. Of Sales Person :

No. Of Vehicles :

Area Covered :

This is to Certify that the above given details are true & correct.

Stamp & Signature

Stock Norms : NA
Payment Terms : Advanced RTGS
*Conditions Apply