Distributorship Application Form: Applicant's Photograph (2 Copies Attested)
Distributorship Application Form: Applicant's Photograph (2 Copies Attested)
Photograph
DISTRIBUTORSHIP APPLICATION FORM
(2 Copies Attested)
3. Applicant’s Address :
Permanent (Residential)
Cell : Phone :
Fax : Email :
Cell : Phone :
Fax : Email :
7. E-TIN :
Page-01
District / Thana :
14. Existing propositions for each of the brand you are selling :
Length of
Company Business Cylinder Monthly Market
SL. No. Business in
Name Type Quantity Sales (Refill) Share
this Industry
01
02
03
04
05
06
07
Page-02
Truck
Pick-up
Open Van/
Three Wheeler
Manager
Salesmen
Deliverymen
Own Fund :
From Bank :
19. Name of the Bank you are using to maintain your Regular Transaction :
Page-03
1. Territory Level :
2. Manager/DSM
Page-04
2. Application on the letterhead pad for distributorship to the Head of sales & Marketing.
6. Photocopy of NID.
8. Bank solvency Certificate along with last Six (06) months Bank statement.
9. Warehouse / Showroom (if any) location with map, layout, photograph of site and deed.
Page-05
Corporate Office :
Level # 8 (South), Plot # 2, Road # 144
Police Plaza Concord Shopping Mall, Gulshan-1, Dhaka-1212, Bangladesh.
Tel : 09610009610, E-mail : [email protected], www.eurogazlpg.com
Factory Office :
Mandaritola, P.O: Barabkunda, P.S: Sitakunda, Chattagram, Bangladesh.
Distributorship Application Form