Rahul Sugar Products

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Dealer Registration Form



Form for Registration

Corporate / Registered / Head Office Address : Factory Address : Other locations:
  City:    
State: Pin Code:    
Contact Persons : Chairman / MD / CEO / Director / Proprietor / Partner / Dealer Key Executives Key Executives
i. Name :      
ii. Designation :      
iii. Mobile # :      
iv. Telephone no.:      
v. Fax Nos.:      
vi. E-mail :      
vii. Website:      
Type of Business (Tick - as applicable) :  
Manufacturer / Authorized Distributor / Consultant / Trader / Indenting Agent / Service provider / Importer / Contractor / Fabricator / Authorized Dealer /Others (Please specify) :
Nature of Concern (Tick - as applicable) : Public ltd. / Pvt. Ltd. / Partnership / Proprietary / Others (Pls specify) :
Details of Statutory Registration no. with authorities and its compliances by your firm. Pl submit copies of registration as applicable, in the absence of which your declaration will not be accepted. Pl mention yes / no or NA (Not Applicable) as applicable:
PAN No.      
LST No.      
CST No.      
Service Tax Reg. No.      
ECC Reg. No.      
Bank Details
Bank Name:   iv. Beneficiary Name:  
Branch (Address) :   v. IFSC Code :  
Account No.:   vi. MICR Code :  
Bank Account Type :    
Details of Sales Turnover & Profit for the last 3 years Sales turnover (Rs.) Net Profit (Rs.)  
Financial year : __________      
Financial year : __________      
Financial year : __________      
Current year Estimated: __________      
Established since - Year :  
Details of other group associate / sister concerns :  
Details of membership of trade associations :  
Is the company ISO Certified? If yes provide details: