Name of Organization* :
Address 1* :
Address 2* :
Address 3 :
email* :
PHONE
Land Line* :
Mobile* :
BANK DETAILS
A/C NO* :
BRANCH* :
IFSC CODE* :
PAN CARD NO* :
CLASS OF ORGANIZATION* :
TIN* :
CST* :
PRESENT BUSSINESS ACTIVITIES :
Last year Turnover (in Rs.) :
DETAILS OF OUTSTANDING PERFORMANCE :
INFRASTRUCTURE AVAILABLE* :
UPLOAD PHOTO OF SHOP : YesNo
TERRITORY REQUIRED*
(Mention State)
:
GUARANTEED MIN SALES DURING CURRENT FINANCIAL YEAR* :
MINIMUM SALES ASSURED DURING NEXT FINANCIAL YEAR* :
READINESS FOR CAUTION DEPOSIT EQUAL TO 50% OF CATEGORY ABOVE* : YesNo
READINESS FOR ADVANCE PAYMENT ALONG WITH ORDER : YesNo
ANY OTHER INFO YOU LIKE TO FURNISH :
UPLOAD THE FOLLOWING DOCUMENTS
1. PAN Card :
2. TIN Registration :
3. CST Registration :
4. Company Registration :
5. Ownership of premises :