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    Reseller Registration

    Uploaded by

    Rohit Nikam
    The document contains a registration form for a company seeking to establish a business relationship. It requests information about [1] the company name and addresses, [2] contact details, [3] ownership and registration details, [4] principal staff and their addresses, [5] current business details like agents, customers, and finances, and [6] required documents for verification. The overall purpose is to collect relevant information about the company to evaluate it as a potential business partner.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Reseller Registration

    Uploaded by

    Rohit Nikam
    54 views5 pages
    The document contains a registration form for a company seeking to establish a business relationship. It requests information about [1] the company name and addresses, [2] contact details, [3] ownership and registration details, [4] principal staff and their addresses, [5] current business details like agents, customers, and finances, and [6] required documents for verification. The overall purpose is to collect relevant information about the company to evaluate it as a potential business partner.

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    Reseller Registration

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    The document contains a registration form for a company seeking to establish a business relationship. It requests information about [1] the company name and addresses, [2] contact details, [3] ownership and registration details, [4] principal staff and their addresses, [5] current business details like agents, customers, and finances, and [6] required documents for verification. The overall purpose is to collect relevant information about the company to evaluate it as a potential business partner.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    54 views5 pages

    Reseller Registration

    Uploaded by

    Rohit Nikam
    The document contains a registration form for a company seeking to establish a business relationship. It requests information about [1] the company name and addresses, [2] contact details, [3] ownership and registration details, [4] principal staff and their addresses, [5] current business details like agents, customers, and finances, and [6] required documents for verification. The overall purpose is to collect relevant information about the company to evaluate it as a potential business partner.

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    © All Rights Reserved
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    You are on page 1of 5

    Address : D Wing 601/602, Graham Firth Steel Compound,

    Speed Ram Mandir Road, Behind Raheja Titanium,


    Reliability Western Express Highway, Jay Coach Signal, Goregaon ( E ),
    MUMBAI - 400063 (Maharashtra)
    Value Performance Tele Phone : 022-67114444

    Fax No : 022-67114445

    A. Name Of the Company :

    1.
    B i) Office Address :
    2.

    3.

    City:

    Sate: Pin:

    ii) Ship to Address :


    & Tel. Nos. (if any)

    iii) Warehouse Address :


    & Tel. No.

    iv) Branches At :
    Email Id :
    C. Telephone Nos. :
    Birth Date :
    Mobile No :
    Anniversary Date :
    Status
    D
    Proprietorship Partnership Pvt. Ltd Public Ltd

    Attach Copy in case of :

    Proprietorship Shop and Establishment Regn. Certificate


    Partnership Partnership Deed
    Pvt or Public Co. Memorandum and Article of Association

    E. Name of Proprietor / Partner /


    Director:

    1.
    Residence Address
    2.

    3.

    City:

    Sate: Pin:

    Telephone No. & Mobile No


    Please attach Self Attested Photograph of Proprietor / all Partners / all Directors along
    with authorized signatures.

    F Name and address of Associate


    : Companies

    G i) Date of start of Business

    ii) Sales Tax Regn. No a) S. T. No. :

    b) C. S. T. No.

    iii) IT PAN No. :

    iv) Central Excise Regn.


    No.

    Attach Copy of the above Registration

    H i) Bankers Names,
    Addresses & Tel. Nos.
    of Branch :

    ii) Bank Account No.


    :

    iii) Banking Since


    :

    iv) No. of Signatures


    :

    v) Specimen Signature :

    _____________ _____________
    Signatory No. 1 Signatory No. 2 Signatory No. 3

    Name : Name : Name :

    Signature to be verified by the Bank Managers with Official Seal


    Attach attested Bank Statement for last 6 months
    Attach Extra sheet in case of more than one Bank
    I Capital employed in business

    J. Graphical Area Recovered : (If rental attach copy of Rent Agreement )


    i) Office Area : _________ Sq. Ft (Ownership / Rental )

    ii) Warehouse Area : _______ Sq. Ft (Ownership / Rental )

    K. I) Agencies Currently Carried :

    Company Major Products App. Turnover Days Credit Yrs Assoc.

    II) References of four parties with whom you are dealing :

    1) Names : Tel. Nos.

    Products : Dealing Since :

    Business volume last completed Accounting year Rs. _______________

    Average monthly volume in current Accounting Year Rs. ____________

    Credit Limit Rs. _________ Credit Period ________ Days

    Contact Person Mr. __________________ Tel. No. _____________ Extn ______

    2)
    Names : Tel. Nos.

    Products : Dealing Since :

    Business volume last completed Accounting year Rs. _______________

    Average monthly volume in current Accounting Year Rs. ____________

    Credit Limit Rs. _________ Credit Period ________ Days

    Contact Person Mr. __________________ Tel. No. _____________ Extn ______

    3) Names : Tel. Nos.

    Products : Dealing Since :

    Business volume last completed Accounting year Rs. _______________

    Average monthly volume in current Accounting Year Rs. ____________

    Credit Limit Rs. _________ Credit Period ________ Days


    Contact Person Mr. __________________ Tel. No. _____________ Extn ______

    4) Names : Tel. Nos.

    Products : Dealing Since :

    Business volume last completed Accounting year Rs. _______________

    Average monthly volume in current Accounting Year Rs. ____________

    Credit Limit Rs. _________ Credit Period ________ Days

    Contact Person Mr. __________________ Tel. No. _____________ Extn ______

    III Monthly estimated value of purchases productwise

    Name of product Amount Name of product Amount

    AMP ENERG
    NUMERIC HCL
    AOC K 7
    CREATIVE HP
    ODYSSEY LINKSYS
    CISCO MICROSOFT
    DELL KINGSTON
    RELICELL TALLY
    TARGUS TOSHIBA

    Total Total

    L. Your Financial Details :

    Current year Turnover from April to __________ Rs. ___________

    Last 3 year’s Turnover : April to March Rs. __________

    April to March Rs. __________

    April to March Rs. __________

    Please attach last 3 years Audited Balance Sheet – with Schedules

    M Manpower Employed in Business : __________

    Sales / Marketing : _________ Delivery : ___________

    Service : __________ Others : ___________


    Admin / Accounts : ___________

    N. No. of Retailers / Assemblers currently serviced


    :

    Date : Name :

    Place :
    Signature : for Prop. / Partner / Director

    Checklist of Attachments :

    1. Copy of partnership Deed / MOA & AOA / Shop & Establishment Regn. Certificate

    2. Self Attested photographs of prop. / all Partners / all Directors.

    3 Copy of Sales Tax, Income Ta x and Excise Regn. Certificate.

    4 Bankers’ Attestation of Signatories & Last 6 months Bank Statement duly attested.

    5 Copy of last 3 year’s audited Balance Sheet – with Schedules.

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