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Shree Pashupati Biscuit Industries
Dealer / Distributor Application Form
Please fill in all required fields marked with *
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Firm Name
*
Dropdown
Proprietor
Partnership
Pvt. Ltd.
Other
PAN/VAT Number
Year of Establishment
Owner/Proprietor Name
*
Phone Number
*
Email Address
Registered Address
Years of FMCG Experience
*
Minimum 3 years required
Number of Retailers Covered per Month
*
Areas/Markets Covered
Number of Other Dealerships
Total Employees
Any Disputes with Previous Manufacturers?
Yes
No
Security Amount (NRs.)
*
Recommended: NRs. 10,00,000 – 15,00,000. Minimum required: NRs. 10,00,000.
Security Amount is accepted only in the form of a Bank Guarantee (BG)
Monthly Sales Target (NRs.)
*
Minimum required: NRs. 10,00,000 per month
Initial Order Value (NRs.)
Requested Credit Terms (Days)
*
Recommended: 45 days. Maximum acceptable: 60 days
Godown Area (sq.ft)
*
Minimum required: 400 sq.ft (dry, pest-free, ventilated, with proper racks & pallets)
Number of Delivery Vehicles
*
Minimum 1 delivery vehicle (tempo/van) required
Citizenship Document
Accepted formats: PDF, JPG, JPEG, PNG (Max 16MB per file)
PAN/VAT Certificate
Accepted formats: PDF, JPG, JPEG, PNG (Max 16MB per file)
Tax clearance Certificate
Firm Registration Document
Accepted formats: PDF, JPG, JPEG, PNG (Max 16MB per file)
GPS Photograph of Warehouse
GPS Photograph of Office
Bank Details / Statement
Accepted formats: PDF, JPG, JPEG, PNG (Max 16MB per file)
Passport Photos
Firm Vehicles Manufacturers?
Declaration
*
I declare that all information provided above is true and correct to the best of my knowledge. I understand that any false information may result in rejection of my application.
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