Distributor Registration Form

Name of the Firm

State

District

Name of the partner/ propreitorship

Contact No.

Alt. Contact No.

Lasy FY's business turnover as per CA audited report in Crs.

Please respond in "Yes/No" if you have the following

Yes/No

Plese give details if responce is "Yes"

Exp. of selling Rebars or similar products in the territory

Experience of selling premium brands

Availability of godown facility

Dealer Base

Bank Limits

Sales Team

Accounts Team

Back Office