DISTRIBUTOR


( * Represents compulsory fields)

Name Of The Company * :
A - Office Address :
     
 
 
     
B - Godown Address :
     
 
 
     
C - Residence Address :
     
 
 
     
     
Phone Numbers :
     
 
 
 
     
     
Type Of Company  
     
Nature of Business and Since When  
     
Date Of Incorporation  
     
     
Registration Certificate
(Number With Date & Valid Up to and Excise Information)
(Supported by self-attested copy)
 
A   B
 
 
 
  C
 
     
D   E
 
     
Area Of Operation / Towns  
Volume/Turnover Of Lubes & Greases
Qty. ( Top 3 Companies)
 
       
       
Company Qty. Annual Turnover Credit Facility
   
   
1
2
3
  Total
 
Ltrs./Kgs.
 
 
 

   
No. of Days Amount (Rs.)
     
Other Products - Dealt / Turnover  
       
       
Company Qty. Annual Turnover Credit Facility
   
   
1
2
3
  Total
 
Ltrs./Kgs.
 
 
 

   
No. of Days Amount (Rs.)
     
    Bank & Business Reference (Please Provide The Following Financial Information)
     
     
Bank Reference  
A   B
 
 
 
 
 
 
 
     
     
     
Business Reference (Customer Or Suppliers Who Deals With Your Firms)  
A   B
 
 
 
 
   
     
     
Bank Guarantee - Details (If Any)  
A   B
 
 
 
     
     
     

Name Of The Partners & Share In Business

(A) Name Of The Partner
(B) Residential Address

Phone Nos.

(C)" Age

(D) Date Of Birth

(E) PAN Card No. (Self-attested copy)

(F) Share (%)

(G) Personal Wealth (Approx.)

Please attach copy of Partnership Deed
 
1   2   3
   
   
   
   
   
   
   
   
   
   
If space is Short, a separate sheet can be attached with FULL details
     
     
     
     
Authorised Signatories  
Name   Signature
 
     
     
     
Profit/Loss - (Last Three Years)  
Year
2016-17
  2015-16   2014-15
Profit      
             
     
Organisation Details  
A   No. of Sales Staff    
B   No. of Office Staff    
C   No. of Establishment Offices & Locations    
D   Godown/(s) (Sq. ft.)    
E   Godowns (Locations)    
F        
             
             
     
     
Expected Turnover Of  
Products   Expected Turnover / Month (Qty.)   Expected Turnover / Month (Value)   Payment Terms
     
             
     
Motorol Products ( Average Per Month)  
     
Maximum Financial Credit Limit  
 
     
We Are Willing To Invest  
 
     
Contact Person In-Charge  
 
     
Explain riefly our strength in distributions promotion and reason why you should be appointed as MOTOROL Dealer or Distributor or Agent  
     

Willingness To Provide for

( A ) Which Customer are you planning to sell to

 
         
         
Yes / No.   Particulars   Amount
   
   
   
( B ) Have you sold similar products before or are currently selling?  
Yes / No.   Particulars   Amount
   
   
   
     
We certify that the information given above are true and correct  
Name Of The Proprietor/Partner/Director   Signature
1  
2  
3  
     
     
Name Of Witnesses
(Other then MOTOROL employee)
 
Name and Address of the Witness/(es)   Signature
1  
2  
     
     
   
   
   
   
     

Sales Office
Plot No. 85/B 115, At & Post: KARAKHADI, Taluka: Padara,
Dist. Baroda - 391450,Gujarat, INDIA.
Phone :+ 91- 2662 273373, 273727
Email : [email protected]