New Dealer / Client ApplicationA. Firms InformationFirm NameAddressDistrictCityStatePinType of FirmProprietorPvt. Ltd.PartnershipOtherYear of EstablishmentTelEmail AddressMobile NoGST NoPAN NoB. Key Contact PersonNameOffice AddressResidence AddressTelEmailMobile NoDirector's/ Owner's/ Partner's namesNameBirthdayWedding DayNameBirthdayWedding DayNameBirthdayWedding DayC. Existing Business Set upNature of BusinessRetailWholesaleDistributionProject SupplyAnnual TurnoverPaid up CapitalIf agencies held, then name of the companiesCustomer Service ExperienceYesNoIf Yes, ItemsName of Associate / Sister Concern in Similar Business if anyAnnual TurnoverAgencies HeldD. InfrastructureStorage AreaOwnership StatusOwnedRentedAddressOffice AreaOwnership StatusOwnedRentedShop AreaOwnership StatusOwnedRentedAddressShowroom AreaOwnership StatusOwnedRentedDisplay Space AvailableYesNoRickshaw/ Auto rickshaw /VanNo. of Sub DealersNo. of ElectricianNo. of Working StaffNo. of Sales PersonE. Banker's InformationBank NameAddressA/C NoRTGS/ NEFT/ IFSC NoAccount NameA/C TypeTel.Facilities AvailableC/C- HypothecationL/CBank GuaranteeF. Other InformationArea for Dealership is requiredIf No infrastructure or Experience is available, how do you propose the sameTwo references with Name, Address & Contact NoIf Regular returns on your risk & investment is assured, how much investment can you makeHow many days credit can you give to your Customers/ RetailersMarket Closing DayAny other relevant information you may desire to share with usG. Registration Information*Credit eligibility is only after a minimum purchase against a single or multiple pro-forma invoices of Rs. 5 lakh.(Note : Security Cheque to be attached only if preference is indicated as ' No '.(Credit Maximum up to 30 days)Immediate Payment Preference Indication against Proforma Invoice* (Y/ N)YesNoMinimum two cheques drawn in favor of Precision Moulds & Mouldings to be issued by the dealer without filling in the date & Amount with authority to Precision Moulds & Mouldings to fill in the date and outstanding amount claimed by Precision Moulds & Mouldings without any further reference to the dealer.Security Cheque No.(1)(2)Bank NameBranchGenerate & Download
