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    Distributor Application Form F 03 01

    Uploaded by

    normanwillow
    This document appears to be a distributor application form for Syngenta India Limited's seed division. It requests information from potential distributors such as their business details, sales history, infrastructure and facilities, terms with other companies, and a proposed deposit amount. If approved as a distributor after review by sales and regional management, the form specifies the distributor's sales target amount and payment terms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Distributor Application Form F 03 01

    Uploaded by

    normanwillow
    286 views5 pages
    This document appears to be a distributor application form for Syngenta India Limited's seed division. It requests information from potential distributors such as their business details, sales history, infrastructure and facilities, terms with other companies, and a proposed deposit amount. If approved as a distributor after review by sales and regional management, the form specifies the distributor's sales target amount and payment terms.

    Original Title

    Distributor Application Form f 03 01

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    This document appears to be a distributor application form for Syngenta India Limited's seed division. It requests information from potential distributors such as their business details, sales history, infrastructure and facilities, terms with other companies, and a proposed deposit amount. If approved as a distributor after review by sales and regional management, the form specifies the distributor's sales target amount and payment terms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    286 views5 pages

    Distributor Application Form F 03 01

    Uploaded by

    normanwillow
    This document appears to be a distributor application form for Syngenta India Limited's seed division. It requests information from potential distributors such as their business details, sales history, infrastructure and facilities, terms with other companies, and a proposed deposit amount. If approved as a distributor after review by sales and regional management, the form specifies the distributor's sales target amount and payment terms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    Title Document. No.

    Effective Date Version Pages


    Distributor Application Form SIL/BM-SM/F-03-01 01-01-2010 A 1 of 5

    DISTRIBUTOR APPLICATION FORM
    From : To Syngenta India Limited.
    Seeds Division,
    Amar Paradigm,
    S.No. 110/11/3,
    Baner Road,
    Baner. Pune - 411 045
    1. Type of Firm Proprietor / Partnership / Pvt. Ltd./Co-operative Society
    2. Names and Addresses of persons managing
    the business

    Name & Residential
    Address
    0% of
    partnership
    Order placing
    facility limit
    Cheque signing
    facility limit
    a. Proprietary
    b. Partnership firm (Indicate
    names of all partners)

    c. Private Ltd. / Public Ltd.
    (Indicate names of MD /
    Directors / Sec. / Executive
    with authority to purchase /
    Cheque signing)

    d. Co-op. society (indicate names
    of Chairman / VP / MD /
    Directors / GM / Sec. /
    Executive with authority to
    purchase / Cheque signing)


    3. DETAILS OF THE FIRM
    a. Seeds License No.
    b. Date of Issue :
    c. Date up to which the license
    is valid :

    d. Designation and place of
    license issuing authority :

    e. Year of starting business :
    f. Investment in the business :
    g. State Sales Tax No. :
    h. C.S.T. No. :
    I. Income Tax PAN :



    Title Document. No. Effective Date Version Pages
    Distributor Application Form SIL/BM-SM/F-03-01 01-01-2010 A 2 of 5

    4. SALSE TURNOVER DURING PAST THREE YEARS :

    Year Total Sales
    Seed Sales
    (Total)
    Seed Sales by the Company
    (1) (2) (3)
    I
    Ii
    iii
    Iv Total Investment in the business :
    V Money he can invest for Syngenta
    Seeds business :

    5. Other agencies under the
    Management of firms Proprietors, if
    any and its nature of business and
    amount invested :

    6. Details of credit rating
    i Name of the Bankers :
    ii Over draft facilities :
    How much utilized :

    iii L/C Limits :
    iv Bank Guarantee Limit :
    v Key Loan facilities :
    vi Deposit with the Bank :
    7. Property Details of Partners :
    (Any establishment on the property
    held must be indicated and also
    whether joint family property or
    individual). Property held and its approximate value
    Name House Land Remarks
    i
    ii
    iii
    iv
    8. Firms Terms & Conditions with other companies
    Company
    Deposit / LC
    Turnover
    Max. Credit Allowed Credit Period
    1.
    2
    3
    4
    5
    6


    Title Document. No. Effective Date Version Pages
    Distributor Application Form SIL/BM-SM/F-03-01 01-01-2010 A 3 of 5

    9. Amount to be deposited with
    Syngenta India Limited
    Rs.

    We hereby declare that the information furnished above is true and correct and is based upon the books
    of accounts maintained by us. No information of material value which may be useful to you to
    determine our credit worthiness has been withheld. If credit facilities are extended and in case of any
    dispute between us and the company the courts at Mumbai alone shall have jurisdiction.
    We further ensure that in the event of credit facilities being extended to us, we undertake / to fully
    abide by the terms and conditions thereof.
    The particulars obtained herein have been read over and / or explained in full and understood and our
    signature is affixed hereunder in token of our accepting and confirming the same.

    1)

    Date : 2)

    Place : 3)



    Official stamp & signature of
    authorized person






    Title Document. No. Effective Date Version Pages
    Distributor Application Form SIL/BM-SM/F-03-01 01-01-2010 A 4 of 5

    FACILITIES AND INFRASTRACTURE
    1. Name/s of active person/s in the business :



    2. Showroom / office / sales counter :
    a Location of showroom / Sales counter
    (Please describe)
    :
    b. Size of Showroom / Sales Counter :
    c. Display space available at showroom :
    d. Number of Godowns :
    e. Total Storage capacity in sq.fts. :
    3. MANPOWER
    a. No. of travelling sales representatives :
    b. No. of counter salesman :
    c. No. of Dealers serviced :
    d. No. of vehicles description :






    Title Document. No. Effective Date Version Pages
    Distributor Application Form SIL/BM-SM/F-03-01 01-01-2010 A 5 of 5
    FOR OFFICE USE ONLY
    1. Recommendation of Sales Executive /
    Management Trainee
    :



    2. Comments of Regional Sales Manager :



    4. Amount to be deposited by the Dealer : Rs.
    : Interest Payable

    5. Terms of Sales : Payment before
    dispatch / against bank
    Guarantee / L.C. for Rs.

    Documents through

    Bank Branch

    6. a. Target for current year : Rs.
    b. Target Period :

    Approved by R.S.M. / D. M.
    Note
    :
    Please return the original and second
    copy .

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