Scribd
Upload
178 views5 pages

Reseller Registration Form - India

This document contains an application for a business credit account. It requests information about the business such as addresses, contact details, ownership structure, financial details like annual turnover, number of employees, and bank references. Attached documents include registration certificates, photos of owners, tax registrations, bank statements, and audited financial statements. The purpose is to provide all necessary information for the credit provider to evaluate the business's application.

Uploaded by

Rama Krishna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
178 views5 pages

Reseller Registration Form - India

This document contains an application for a business credit account. It requests information about the business such as addresses, contact details, ownership structure, financial details like annual turnover, number of employees, and bank references. Attached documents include registration certificates, photos of owners, tax registrations, bank statements, and audited financial statements. The purpose is to provide all necessary information for the credit provider to evaluate the business's application.

Uploaded by

Rama Krishna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

Speed

Reliability
Value Performance

A.

Name Of the Company

i)

Address

: D Wing 601/602, Graham Firth Steel Compound,


Ram Mandir Road, Behind Raheja Titanium,
Western Express Highway, Jay Coach Signal, Goregaon ( E ),
MUMBAI - 400063 (Maharashtra)

Tele Phone

: 022-67114444

Fax No

: 022-67114445

:
1.

Ofce Address

:
2.
3.
City:
Sate:

ii)

Ship to Address
:
& Tel. Nos. (if any)

iii)

Warehouse Address :
& Tel. No.

iv)

Branches At

:
Email Id

C.

Pin:

Telephone Nos. :
Birth Date :
Mobile No :
Anniversary Date :
Status

D
Proprietorship

Partnership

Pvt. Ltd

Public Ltd

Attach Copy in case of :


Proprietorship
Partnership
Pvt or Public Co.
E.

Shop and Establishment Regn. Certicate


Partnership Deed
Memorandum and Article of Association

Name of Proprietor / Partner /


Director:
1.
Residence Address
2.
3.
City:
Sate:

Telephone No. & Mobile No

Pin:

Please attach Self Attested Photograph of Proprietor / all Partners / all Directors along
with authorized signatures.

Name and address of Associate


: Companies

i)

Date of start of Business

ii)

Sales Tax Regn. No

a) S. T. No. :

b) C. S. T. No.

iii)

IT PAN No. :

iv)

Central Excise Regn.


No.

Attach Copy of the above Registration

i)

Bankers Names,
Addresses &
Tel. Nos.
of Branch
:

ii)

Bank Account No.


:

iii)

Banking Since
:

iv)

No. of Signatures
:

v)

Specimen Signature

_____________
Signatory No. 1
Name :

_____________
Signatory No. 3

Signatory No. 2
Name :

Name :

Signature to be veried by the Bank Managers with Ofcial Seal


Attach attested Bank Statement for last 6 months
Attach Extra sheet in case of more than one Bank
I
Capital employed in business

J.

Graphical Area Recovered : (If rental attach copy of Rent Agreement )

K.

i)

Ofce Area

ii)

Warehouse Area : _______ Sq. Ft (Ownership / Rental )

I)

Agencies Currently Carried :

Company

: _________ Sq. Ft (Ownership / Rental )

Major Products

App. Turnover

Days Credit

II)

References of four parties with whom you are dealing :

1)

Names :

Tel. Nos.

Products :

Dealing Since :

Yrs Assoc.

Business volume last completed Accounting year Rs. _______________


Average monthly volume in current Accounting Year Rs. ____________
Credit Limit Rs. _________

Credit Period ________ Days

Contact Person Mr. __________________

Tel. No. _____________ Extn ______

2)
Names :

Tel. Nos.

Products :

Dealing Since :

Business volume last completed Accounting year Rs. _______________


Average monthly volume in current Accounting Year Rs. ____________
Credit Limit Rs. _________

Credit Period ________ Days

Contact Person Mr. __________________

Tel. No. _____________ Extn ______

3)

Names :

Tel. Nos.

Products :

Dealing Since :

Business volume last completed Accounting year Rs. _______________


Average monthly volume in current Accounting Year Rs. ____________
Credit Limit Rs. _________

Credit Period ________ Days

Contact Person Mr. __________________

Tel. No. _____________ Extn ______

4)

Names :

Tel. Nos.

Products :

Dealing Since :

Business volume last completed Accounting year Rs. _______________

Average monthly volume in current Accounting Year Rs. ____________

Credit Limit Rs. _________

Credit Period ________ Days

Contact Person Mr. __________________

Tel. No. _____________ Extn ______

III

Monthly estimated value of purchases productwise

Name of product

Amount

AMP
NUMERIC
AOC
CREATIVE
ODYSSEY
CISCO
DELL
RELICELL
TARGUS

Name of product
ENERG
HCL
K
HP
LINKSYS
MICROSOFT
KINGSTON
TALLY
TOSHIBA

Amount

Total

L.

Total

Your Financial Details :


Current year Turnover from April to __________ Rs. ___________

Last 3 years Turnover :

April to March Rs. __________

April to March Rs. __________

April to March Rs. __________

Please attach last 3 years Audited Balance Sheet with Schedules


M

Manpower Employed in Business : __________


Sales / Marketing : _________

Delivery : ___________

Service

Others

: __________

: ___________

Admin / Accounts : ___________

N.

No. of Retailers / Assemblers currently serviced


:

Date :

Name :

Place :
Signature : for Prop. / Partner / Director

Checklist of Attachments :

1.

Copy of partnership Deed / MOA & AOA / Shop & Establishment Regn. Certicate

2.

Self Attested photographs of prop. / all Partners / all Directors.

Copy of Sales Tax, Income Ta x and Excise Regn. Certicate.

Bankers Attestation of Signatories & Last 6 months Bank Statement duly attested.

Copy of last 3 years audited Balance Sheet with Schedules.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy