Name of the Organisation

Trade Name

Address

Office:

Warehouse:

Telephone Number /s

Fax Number

E-mail

Nature of the Company

Proprietory Partnership Private Limited Public Limited  

Contact Person

Name

Official Capacity

Telephone No.(Direct)

Total area

Office

Warehouse

Showroom

Covered

Uncovered

Total number of employees as on date

Administrative

Sales

Service

Others

No. of branches

Nature of business

  Trading Commission Agent

Name of product dealt

Company Name

Concerned person
& designation

Duration

Principal customers

Name and address
of the customer

Product Supplied

Turnover current /
last year

No. of year in business

Annual turnover during the last three years

Bankers Name & Address

Do you intend to recruit
sales service persons exclusively for Roots Multiclean Ltd ?

Do you prefer stock & sale, sale in transit, book orders in our name on commission basis

Amount proposed for
working capital

Any special information

Remarks

I certify that the information supplied herein is correct to the best of my knowledge.

Name

Designation

Place

Date