Firm / Company Name : |
|
Establishment year of Firm/Company : |
|
Name of Contact Person (1) |
|
Residential Address with Phone No : |
|
Name of Proprietor/Partners (2) |
|
| Residential Address with Phone No : |
|
| Designation
: |
|
| Date : |
|
| Place : |
|
| Name & Address of Bankers : |
|
| |
|
| |
|
Acount details |
|
| Turnover during Last Year : |
|
| Turnover during 2nd Last Year : |
|
| Turnover during 3rd Last Year : |
|
| |
Details of Products Dealing at Present |
| Products Details / Company |
Since Year |
Sale During Last Year
in (Rs.) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
Willingness to invest in our
Product (Rs.) |
|
No. of Sales Person
Directly employed by you |
|
| |
|
Facility you have of : |
| Mode of import / Export : |
|
| Port of landing |
|
| |
|
Territory in which you are
interested |
|
Expected annual sale of our
product in your interested
territory |
|
| Your I.E.C. No. |
|
| |
|
|
| Mode of transportation : |
|
Member of any
chamber of commerce (if any) |
|
Perticular area / city where
you have good scope
(other than your chosen
territory ) |
|
| City : |
|
| Pin
Code : |
|
| (if
Other State Please Specify: |
|
| Country : |
|
| (if
Other Please Specify) : |
|
| Tel.
No. : (with std code) |
|
| Fax
No. : |
|
| Email
: |
|
| Remarks : |
|
