WHOLESALE DEALER

APPLICATION

State
Name of Firm*
Firm Address*
Contact Person*
Email*
Telephone*
Mobile No.*
Business Experience (in years)*
Present Dealing Brands
No. Of Sales Person*
Delivery Vehicle (Type)*
TIN No.
CST No.
Area of Operation (Proposed) Town Name*
Weekly / Monthly Off Day*
Market Profile (Competitor Available in Market)
Name Of Bank