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Forms > Distributor Application Form
  * = Required Field  
  Area Applied For : *  
     
  Profile  
     
 
Contact Person :   *   Firm Name :   *
           
 Address :   * Mob No. :  
           
Telephone No. :   * STD code :   *
           
E-mail Id :   * Fax No. :  
           
Name of Proprietor/Partners      
           
(a) :                    
           
(b) :        
           
(c) :        
           
CST No :   VAT / TIN No :  
           
 
     
  Products Currently Dealing  
     
 
Name of Company's :    Products & Brands :  
           
Area Of operations :   No. of Outlets Coverings :  
           
Dealing For No. of Years :   Annual Business   *( in lakhs)
           
 
     
  Financial Status  
     
 
Name and Address of Bankers : Investment in Business :
       
 (a) :   (a) Own Capital :  
       
(b) :   (b) Loan :  
       
 
     
  Infrastructure  
     
 
Number of Employee  :  
     
 (a) Salesmen:  
     
(b) Others :  
     
 
     
 
       
 
 
 
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