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APPLICATION FORM FOR BUSINESS ASSOCIATE
(Please fill up form in English in capital letters)
Upload your recent Passport Size Image
Date:
07/02/2012
To,
Ajanta International
Behind Apollo mill compound
Off N.M.Joshi Marg - Lower Parel
Mumbai 400 011 (Ph : 022-3072664)
E-mail : ajantainternational@gmail.com
1. NAME OF THE APPLICANT/KEY PERSON :
2. EDUCATIONAL QUALIFICATIONS :
3. RESIDENTIAL ADDRESS :
(a) Tel:
4. NAME OF ALTERNATE CONTACT PERSON :
5. NAME OF THE COMPANY :
(a) Tel Nos: (1)
(2)
(b) Fax:
(c) Mobile No:
(d) Email ID:
Postal Address:
(a) Year of Establishment:
(YYYY)
(b) Status:
Proprietory
Partnership
Private Ltd
Public Ltd
6. PRESENT BUSINESS (ITEMS HANDLED):
Names of Mfrs
Product Details
(a)
(b)
(c)
7. LAST 3 YEAR'S (ANNUAL) SALES:
(1) Rs:
(2) Rs:
(3) Rs:
8. NAMES OF YOUR IMPORTANT CUSTOMERS:
(a) Institutional (1)
(2)
(3)
(b) Corporate (1)
(2)
(3)
9. SALES TEAM:
For local customers :
For up country areas:
10. NAMES OF PREFERRED TRANSPORTERS WITH ADDRESSES & PHONE NOS:
(1)
(2)
11. NAMES OF PREFERRED COURIERS WITH ADDRESSES & PHONE NOS:
(1)
(2)
12. BANK'S NAME AND ADDRESS:
(a) Facilities being availed from the bank:
13. STORAGE FACILITY: Do you have a separate godown?
Yes
No
14. DELIVERY ARRANGEMENT: Do you have delivery van?
Yes
No
15. TERRITORY DESIRED
16. LOCAL REFERENCES: Name, Address & Phone No
(1)
(2)
17. REFERENCES IN MUMBAI: Name, Address & Phone No
(1)
(2)
18. PRESENTLY, HOW MANY TIMES IN A YEAR DO YOU VISIT MUMBAI:
19.
TO BE REPHRASED AS "How much business do you estimate to secure from LIC, Banks & Corporates in your territory"
20. TYPE OF FRANHISEE INTERESTED IN
Silver
Gold
Platinum
21. TO RECEIVE A DETAILED BUSINESS PLAN - (which will give you a fair assessment on your return on investment) ALONG WITH LEGAL DOCUMENTATION PLEASE SEND A D.D. FOR RS 5000/- IN FAVOUR OF 'Ajanta International-Franchisee a/c'.
22. ADDED STRENGTHS:
23. ANY OTHER INFORMATION YOU MAY WISH TO ADD:
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