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Varnada Industries PVT - LTD: Annexure "A"

This document is an application form for a dealership/distributorship with Varnada Industries Pvt. Ltd. It requests information such as the applicant's company name and address, contact details, current business activities and turnover, anticipated annual sales of Varnada products, bank details, and enclosures including documents proving identity, address, GST registration and bank account. If approved, it would appoint the applicant as a distributor, counter dealer or sub-dealer/retailer to sell Varnada's aircoolers, geysers and mixer grinders.

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Eshwar
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102 views2 pages

Varnada Industries PVT - LTD: Annexure "A"

This document is an application form for a dealership/distributorship with Varnada Industries Pvt. Ltd. It requests information such as the applicant's company name and address, contact details, current business activities and turnover, anticipated annual sales of Varnada products, bank details, and enclosures including documents proving identity, address, GST registration and bank account. If approved, it would appoint the applicant as a distributor, counter dealer or sub-dealer/retailer to sell Varnada's aircoolers, geysers and mixer grinders.

Uploaded by

Eshwar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ANNEXURE “A"

VARNADA INDUSTRIES PVT.LTD


DEALERSHIP/DISTRIBUTORSHIP/CUSTOMER APPLICATION FORM
(All information furnished by you will be treated as strictly confidential)

DIVISION AIRCOOLER
GEYSER I"""""””I MIXER GRINDR

Depot: Town: District:

Date of
Appointment: (DDMMYYYY)

Distributor Counter Dealer Sub-Dealer/Retailer

GENERAL

Name of the Company /Firm:

Name of the Proprietor / Partner


PAN :

Office Address:*

Pin:*
E-mail Address:*

Tel : Fax :

Permanent / Warehouse Address:

Contact Person Name:

Pin:“

E-mail Address:*

Tel : Fax :

Size Own* Rented”

Destination where materials should be delivered:“

Name of your Bankers:*

Address of yourBankers:*

A/C statement certified by bank*

Bank Certificate containing address & A/C No:- Yes No


*
ACTIVITIES:
item dealing in Turnover Area of Operation
3.1 PI.give details of your present LY CV
business:

Authorised Dealer Ship. 1.

2.

3.

Authorised Distributorship 1

2.

3.

No.of Current Retail outlets serviced

Do you use any vehicle for YES NO

distribution Type of vehicle Three Wheeler Four Wheeler

Registration No:*

Do you have any Salesman ? If so please indicate:*


Person's Name Age Qualification Experience with you Total Experience

ANTICIPATED BUSINESS

What will be your estimated annual turnover of our Products in the first year of operation : Rs

Products:
Qty. per Month Qty. Annual

PI.give names of two responsible persons to whom your organisation is known and we may make a reference

Name :
Tel :
Mob :

Your GST Tax Registration No.anddate(PI.attachcopyoftheSalesTaxRC:

a) State GST Tax No. Date:

Authorised Signatories
Company Distributor's / Dealer’s Name
& Rubber Stamp

Enclosures
1 Self attested copy of GST
Registration 2 Self attested copy of 5 Bank Statement
PAN 6 Security Cheques (must be issued by the customer himself)
3 Self attested copy of Address 7 Certificate by bank confirming Account and address of the
Proof 4 Self attested copy of account Holder 9 Dealership / distributorship Agreement
Identity Proof

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