1) Name of the Organization:
3) Date of establishment:
4) Name/s of Proprietors/ Partners / Directors:
5) Telephone Nos. / Office: Res.:
6) Office Space: sq. ft.
7) Show room : sq. ft. / Godown Space :sq. ft.
8) Name of the Bankers & Address:
9) Present Agencies for representation / selling:
10) a) Are you manufacturing any items? (YES/NO)
b) If yes, since when:
-Type & products made:
-Turnover : This year:Last year:
- Markets covered:
c) Are you reselling to shops? YES/NO, If yes, which type?
Number of such shops:
11) Whether you are planning following functions through own staff (YES/NO)
Sales:After Sales Service:
12) State: VAT No.: TIN No.: GST No.
13) Types of Vehicles in possession: 2 Wheeler:Cars:Tempo/Truck:
14) Area desired by you i.e. State/District/City. Please specify names:
15) No. of customers presently in your service: (Please underline / tick industries where you have made maximum turnover)