R.K. DELICACIES PVT. LTD.

R.K. DELICACIES PVT. LTD.
Unit 1- 80/3/4, Village Turmuri. Dist, Belgaum-591128, Karnataka ( Tel No: 0831 6535073 )
Unit 2- 118/1, Shinoli Industrial Area, Shinoli, Tal. Chandgad, Dist. Kolhapur -416507,Maharashtra.
Tel No: 02320 236300
Fax No: 02320 236778
Email ID- [email protected]
Web Site-www.metropickles.com
SUPER STOCKIEST / STOCKIEST APPLICATION FORM
Date : - _____/_____/________
Firm Name :
Proprietor / Partner
Full Name :
Contact Person :
Address :
Passport Size Photo
Email ID :
TIN. No :
VAT. No :
PAN. No :
Ph. No. With STD Code :
Off. Fax. No :
Mobile No :
Godown Ph. No :
GENERAL INFORMATION
Detail Business information of Firm:
Sl. No
Companies Dealing with
Annual Turnover: Last 3 Years (in Rs.)
Year
1
2
3
4
5
LOGISTIC INFORMATION
Transporters Name :
Contact Person :
Ph. No :
Mobile No :
Courier Service :-Name :
Contact Person :
Ph. No :
Mobile No :
BANK DETAILS
Name of the Bank
Account No.
I.F.S.C. Code
Branch Address
OPERATING AREA
Area Covered :
Octroi % if any :
Taxation % :
Own/Rent shop Area ( Sq. Ft) :
Own/Rent Godown Area ( Sq. Ft) :
DETAILS IN CASE OF DISTRIBUTORS / STOCKIEST
Coverage
Wholesaler
Retailers
Others
Available Outlet
Covered
Available Routes :
Covered Routes :
Approx Population of Area / Town :
Annual Fairs / Jatra if any :
No. of Staff
Salesman
Office Staff
Delivery Boy
No. of Delivery Vans
PERSONAL INFORMATION
Name :
Address ( Resi ) :
Ph. No. With STD Code :
Mobile No :
Date of Birth :
Date of Marriage Anniversary :
FOR OFFICIAL USE
Recommended By
S.O
A. S. M
Sign & Date
Sign & Date
Approved By
Sign & Date
Administrative Manager
NOTE: KINDLY ENCLOSE THE PHOTOCOPIES OF : (A) ID Proof + 2 Passport size Photographs,
(B) Address Proof (Ration Card/ Electricity Bill / Telephone Bill).
(C) Government Statutory License
(D) CST /BST / TIN & PAN Card.
(E) Security cheque.
CONFIDENTIAL SUMMERISED REPORT / REMARK: TO BE FILLED BY ASM
1) Specify the reason to appoint this Super Stockiest / Distributor / stockiest :
2) What factor motivates him to apply for our brand?
3)
4)
5)
6)
7)
Reputation in the market : Good
/ Average
/ Poor
Credit Period offered / given to Distributors & Retailers ( No of days ) :
Do you think he will continue our association for long time? YES
/ NO
Service / delivery of goods to Distributors : Regular
/ As per requirement /Urgent / regular
Strength of Super stockiest write in %
Distribution
Financial position
Market Knowledge
Market relation
Good
Avg
Poor
Good Avg
Poor
Good Avg
Poor
Good Avg
Poor
8) Specify week points if any :
9) Will he participate in various schemes operated by company in future? Yes / No
10) Previous payment history to other companies already dealing : Good / Avg / Poor
12) Have you attached NOC from earlier / existing Distributor? YES / NO If NO Please state the reason :
13) Name of the area / Town Handled by Super Stockiest
ASM & Sign Name :
Remark : By RSM
RSM & Sign Name :
Remark : NSM / HO