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180-012-000-72
Tara Health Foods Ltd.
Dealer / Distributor Registration Form
     
 

 

Full Name

:

Area Applied For

:

Upload Image

:

A. Details of the Company/Firm

Name

:

office Address

:

telephone

:

fax

:

corporate Status

:

established since

:

Name of the Proprietor

:

Person handling day to day operations

:

B. Showroom

Location

:

Size/Area

:

Details of branch office(s)

:

C. Godown/Warehouse Facilities

location

:

Distance from City Centre/Main Market

:

D. Selling Organization

Person authorized to take decisions

:

No. of sales staff

:

E. Financial Status

Capital likely to be invested in Tara Products

:

Bank Details

a) Name of the bank

:

B) A/C no.

:

C) Address of the bank

:

D) tin/vat no.

:

F. How many retailers/dealers network are in operation?

G. Do you have any vehicle to supply the material to Retailers / Dealers?

YES  NO

Make:

 

H. Presently dealing in any competitors product (s)

YES  NO

I. General

a) Were you ever a Distributor or a Dealer of our company?

:

YES  NO

b)Reasons for Giving up the Distributorship / Dealership

:

c)Are you associated with any of our Group Company

:

YES  NO