DEALERSHIP APPLICATION FORM
DEALERSHIP APPLICATION FORM
DEALERSHIP APPLICATION FORM
Name of the Applicant:
Name of the Firm/Shop:
Address Of the Firm:
Phone No. (With STD code):
Mobile No:
Email:
Details of Bank A/c. :
Name and address of Bank:
Type of A/c. (tick ):
Savings
Current
Others
Account No:
Name of authorized signatory:
Name of firm/company under which dealership exist :
Company Name:
Products:
Quantity:
Remarks:
Company Name:
Products:
Quantity:
Remarks:
Company Name:
Products:
Quantity:
Remarks:
Status of firm (tick ):
Proprietorship
Partnership
Limited Company
Private Ltd. Co
(For partnership firms enclose copy of partnership Deed for Companies Memorandum Articles of Association)
Details of Proprietor/Partners/Directors:
Name:
Date of Birth :
Father’s/Husband’s name:
Marital status:
Name:
Date of Birth :
Father’s/Husband’s name:
Marital status:
Name:
Date of Birth :
Father’s/Husband’s name:
Marital status:
Name and address of associate firm(s):
Turnover:
Details of Security Deposit:
DD/Cheque No.:
Date:
Amount:
Bank:
Payable at:
Referred By:
Attach your photo
Attach valid Photo ID
SUBMIT
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Brand Strategist
Creative Designer
Visualizer
SEO Specialist
Content Writer
Social Media Manager
Marketing Executive
Business Development Manager
Upload Your Resume
Upload Your Photo