Scribd
Upload
521 views2 pages

1 New Dealer Appointment Form

This document is a new dealer appointment form that contains details to be filled out by an applicant seeking to become an authorized dealer. It requests information such as the applicant's business details, infrastructure, licenses, financial information, distribution capabilities, and agreement to terms and conditions. The form must be submitted to the company's customer service office for review and approval of the new dealer appointment.

Uploaded by

Prashant A U
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
521 views2 pages

1 New Dealer Appointment Form

This document is a new dealer appointment form that contains details to be filled out by an applicant seeking to become an authorized dealer. It requests information such as the applicant's business details, infrastructure, licenses, financial information, distribution capabilities, and agreement to terms and conditions. The form must be submitted to the company's customer service office for review and approval of the new dealer appointment.

Uploaded by

Prashant A U
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Date: 01-05-2023

NEW DEALER APPOINTMENT FORM

To be filled by the applicant and submitted to the CSO


S.
No. PARTICULARS
1 Date of Proposal:
2 Name of the Party :
3 Nature of Business :
(Proprietorship/Partnership/ Company)
4 Name of the Proprietor / Mobile No.:
Address of Business (Pin code is must) :
Computer:
Internet:
Availability of :
Code:
Phone No.
Email:
Contact Nos.:
Address of warehouse :
(If Separate from office)
Whether office or Warehouse is
leased/owned?
(If leased, Please submit rent deed copy)
Mention the details of infrastructure in
Warehouse along with Temperature
control mechanism in storage area:
Whether related to any one in Neictar
Asia?
VAT/CST NO. : (Kindly attach certificate
copy)
DL NO. 20B & 21B:(Kindly attach
certificate copy)
PAN NO. :(Kindly attach certificate copy)
Year of establishment :
Proposed Coverage area :
Address of Branches / Sister concerns (If
any)
Capital employed (in Lacs)
Annual Turnover (In Lacs)
Name of Banker with Address :
Document No. NEA-000-0-000-00-0 Page 1 of 2
Date: 01-05-2023
NEW DEALER APPOINTMENT FORM

Bank A/C No. :


Name of Authorized Signatory
Details of Persons / Employee who will
be assigned for Neictar Asia transactions:
No. of Field Personnel employed :
Total No. of Parties/Retailers serviced by
the firm :
Distribution Facilities:

TERMS & CONDITIONS :

 PAYMENT TERMS 100 % ADVANCE UNLESS SPECIFIED IN WRITING.

 WE DO NOT AUTHORIZE CASH/GOODS TRANSACTIONS WITH OUR FIELD PERSONNEL & YOU WILL BE
SOLELY RESPONSIBLE FOR SUCH TRANSACTIONS AND LIABILITIES ARISING OUT OF THESE.
 STORAGE CONDITIONS SHOULD BE IN COMPLIANCE WITH THE STATUTORY
REQUIREMENTS AS WELL AS THE NATURE OF GOODS.
 SHORT EXPIRY HAS TO BE INFORMED AT LEAST SIX MONTHS IN ADVANCE.

 GOODS RETURN AGAINST EXPIRIES HAVE TO COMPLY WITH PREVAILING NORMS.

 THE COMPANY IS AUTHORIZED TO APPOINT NEW/ADDITIONAL


DISTRIBUTORS/DEALERS/STOCKISTS AS PER THE NEED OF THE BUSINESS.

I/WE AGREE TO THE ABOVE & PROMISE TO COMPLY WITH ALL THE ABOVE MENTIONED
TERMS.

AUTHORIZED SIGNATORY
(WITH THE SEAL OF THE FIRM)

Document No. NEA-000-0-000-00-0 Page 2 of 2

You might also like