STOCKIST INFORMATAION FORM

STOCKIST INFORMATAION FORM

1. BASIC DETAILS

1. Name of Party    ___________________________________________________

2. Address              ___________________________________________________

                               ___________________________________________________

                               ___________________________________________________

3.Contact Person  __________________________________________________

4. Telephone        Landline ________________ Mobile _____________________

5. Email Id           ____________________________________________________

2. BUSINESS BACKGROUND

Company	Brand/Product	Area handled	Monthly Turnover	Handling Since

3.  COMPOSITION

Type of Organisation:  PROPRIETORSHIP / PARTNERSHIP / PVT.LIMITED COMPANY

Names of Proprietor / Partners / Directors:

1.__________________________________ 3. _____________________________________

2. _________________________________  4._____________________________________

                                                                                                                                                                                                                                               

AREA:…………………………………………………………………………………….

 4. Infrastructure of your Organisation :

    a) Shop/Office                                 :                    sq.ft                   Owned / Rental                                                     

    b) Godown                                      :                    sq.ft                    Owned / Rental                                                                                             

    c) Total Staff                                   : Sales                 Office              Others

    d) No. of Vehicles                          :

    e) Types of Vehicles                        :  1.                                    2.

    3.                                    4.                                              

5.  MISC

Name of Bankers
Banker’s address
Account No
TIN No
CST No
Transport

We solemnly declare that all particulars furnished in the application as well as this form are true and correct to the best of my knowledge & belief. We also fully agree that the company is authorised to inquire about our firm/company and we do not have any kind of objections for the same. We clearly understand that any misstatement of fact contained herein or willful concealment of any material fact will render me liable to appropriate action including summary dismissal as may be decided by the Authority. We confirm that the appointment is as per local association norms, as well as abide by all terms and conditions of the company.

N.B. : Company will never be responsible for any type of personal transaction of Cash &/or kind with trade channel &/or field channel.

                             SALES MANAGER’S RECOMMENDATION

APPOINTED BY SALES OFF/SR                                             SEAL/SIGNATURE OF PARTY

APPROVED BY ASM