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Name of the firm:
Office Address:
State:
Country:
Residence Address:
Telephone No.
Fax No.
Mobile No :
E-mail ID:
Website :
Status of Company :
Proprietory  Patnership  Private Limited  Public Limited Others
Date of Incorporation : Pick a date
     
  Staff Strength  
 
(A) Qualified Sales Personnel:
(B) General Staff:
Name of Bankers:
Detail. of Bankers:
 
  Name Of Proprietor/Partners/Directors:  
 
Proprietor Name Address Telephone Email
 
Present Distribution Business: (If Any)
Area/Territory respresented:
 
Manufacturer Products Territory Annual Turn over
 
  Annual turn over for last 2 years
   
 
  Detail of other products being marketed
 
  Have you authorised Distributorship / Agency of any other company? Give details with product for which you have agency
 
 
  Do you have any experience of marketing Masterbatches OR Polymer Industry? If yes give details.
 
 
  Indicate your marketing and advertisement methods.
 
 
 
 
Registration No.:
ECC No. Effective From:  Pick a date
CST No. Effective From:  Pick a date
Vat TIN No. Effective From:  Pick a date
Service Tax Regn No. Effective From:  Pick a date
 
  General:  
A. Which Terriotry/state you would like to market masterbatches?
 
C. What is your expectation of materbatch sale in the territory per annum?
 
 
  Any Other Information 01: