SUNCARE FORMULATIONS PVT. LTD.

E-20, UPSIDC Industrial Area, Selaqui,

Dehradun - 248197, U arakhand, INDIA

STOCKIST APPOINTMENT FORM

SID: ____________________ HQ:____________________ Date:____________

1. Name of the Firm____________________________________________________

Passport
2. Address____________________________________________________________ Size Photo
of Proprietor
City_____________________________________District____________________ or Main
Working
State________________________________Pin Code No.___________________ Partner
(Please Sign Accross)
Phone No. with S.T.D. Code No.(Shop)____________(Res.)__________________

Mobile No.__________________________________ Fax No.___________________________________

Email ID__________________________________________Whatsapp No.________________________

3. Year of star ng wholesale business________________________________________________________

4. Wholesale Drug Licence No.: 20B ___________________21B__________________w.e.f.____________

5. GST No. ____________________________________________________________w.e.f._____________

5.1 PAN No. ____________________________________________________________w.e.f._____________

5.2 FSSAI No. ___________________________________________________________w.e.f._____________

6. Name of the Bank and Full Address________________________________________________________

_____________________________________________________________________________________

Nature of A/C (CA/C.C.)_______________________Bank Account No.____________________________

IFSC Code___________________________Bank-Phone Number with STD Code____________________

7. Whether you are availing any credit limit facility of Bank (if yes how much)_______________________

8 Cons tu on : Partnership/ Proprietory Firm________________________________________________

9.1 If Proprietorship men on name of the proprietor____________________________________________

9.2 If Partnership men on name of the partners 1.______________________________________________

2. ______________________________________3.___________________________________________

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9.3 1st Partner/ Proprietor Name_____________________________________________________________

Father’s Name_________________________________________________________________________

Residence of __________________________________________________________________________

_____________________________________________________________________________________

City___________________________________District_________________________________________

State__________________________________Pincode________________________________________

Residence Phone No. __________________________Mobile No. _______________________________

Email Id_______________________________________Whatsapp No.___________________________

Date of Birth ___________________________ Place of Birth___________________________________

Permanent Residence Address____________________________________________________________

_____________________________________________________________________________________

9.4 2nd Partner/ Proprietor Name____________________________________________________________

Father’s Name_________________________________________________________________________

Residence of __________________________________________________________________________

_____________________________________________________________________________________

City___________________________________District_________________________________________

State__________________________________Pincode________________________________________

Residence Phone No. __________________________Mobile No. _______________________________

Email Id_______________________________________Whatsapp No.___________________________

Date of Birth _____________________________ Place of Birth_________________________________

Permanent Residence Address____________________________________________________________

_____________________________________________________________________________________

10. Total No. of family members looking a er wholesale business(other than employees)______________

11. Age of main working Proprietor/ Partner___________________________________________________

12. Name & Age of Sons/Brothers or working partners in the Firm_________________________________

Name Age Rela onship with proprietor/ Main working Partner

1.

2.

3.

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 13.1 Qualifica on & Work Experience of Partners/ Proprietor______________________________________

13.2 Name ______________________Qualifica on________________________Experience_____________

13.3 Name ______________________Qualifica on________________________Experience_____________

14. Whether House is Rental or Own ________________________________________________________

15. Present Investment in Business__________________________________________________________

16. Companies Dealing with

Monthly Sales Phone No. with Company’s

Name of Company Value Name of C&F or Depot
STD Code of ASM/RSM
Payment System
C&F/ Depot Name
Dealing Since Cash/Credit with Name of Contact Person
(2) No. of days Mobile Number Mobile Number
& Email Id

1.

2.

3.

4.

5.

6.

7.

8.

17. Number of Salesman going for booking. Please men on names and contact number of Salesmen :
1. _________________ M.No_________________ 2. _________________ M.No_________________

3. _________________ M.No_________________ 4. _________________ M.No_________________

5. _________________ M.No_________________6. _________________ M.No_________________

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18. Supply Arrangements (Conveyance, Vehicle & Units for Supply)_________________________________

19.1 Provide list of retail Chemists to whom you are supplying goods________________________________

19.2 Provide list of General Merchant Shops to whom you are supplying goods________________________

19.3 Provide list of Doctors / Nursing Home to whom you are supplying goods_________________________

20. Areas/ Territory/ Interior markets covered:

S.N. Town / Interior Distance from Detail of chemists (5) Mode of

Stockist Town Coverage
(1) (2) (3) Available Covered (6)

21. Annual sales turnover of wholesale business:

21.1 (20___/20___) ________________________________________________________________________

21.2 (20___/20___) ________________________________________________________________________

21.3 This year expected (Year 20___/20___) _____________________________________________________

22. Any other business / Source of income _____________________________________________________

22.1 Storage facility : Area of Godown in sq. . __________________________________________________

22.2 Whether godown is rental or own_________________________________________________________

22.3 Area of shop in sq. . ___________________________________________________________________

22.4 Whether shop is rental or own : __________________________________________________________

23 Why you are interested in stockistship of the company________________________________________

23.1 Expected Business trunover for the company per month_______________________________________

23.2 Proposed Investment for the company_____________________________________________________

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24.1 Name of preferred Transport for receiving goods from Depot__________________________________

24.2 GST No._______________________________ Whatsapp No.__________________________________

24.3 Phone No. of Transporter_________________________Email__________________________________

25.1 Are you selling range of Suncare products Presently Yes/ No___________________________________

25.2 If Yes from which Party/ Place you are buying presently?______________________________________

I here by declare that the enclose informa on is true to my knowledge and believe

____________________________________________________________________________________

____________________________________________________________________________________

enclosures must be a ached with the form:-

Signature with date & Stamp of Stockist

1. Self A ested Photocopy of Drug Licence 20B & 21B.

2. Self A ested Photocopy of Partnership deed of Firm,
in case of partnership.
3. Self A ested Photocopy of GST Registra on.
4. Photograph of the Shop.
5. Le er of interest along with declara on that stockist
has read the terms & condi on of stockist appointment
form and is read to abide by them.
6. PAN copy of Firm.
7. KYC of Proprietor/ Main Working Partner)
7.1 Aadhar
7.2 PAN card
8. Secu y Cheque in the name of SUNCARE FORMULATIONS PVT. LTD.

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 Terms and Condi ons for Supply to Stockist
1. All Supplies will be made only if order is accompanied by Current Dated Cheque or
PDC (AT PAR)/ DD subject to confirma on of payment.
2. Stockist will be given specified territory for working. you shall sell the goods in the
specified territory only. An average li ing per month should be maintained as
decided from me to me.
3. Goods are being dispatched and documents sent to you directly on AMANAT basis.
The tle of the goods shall lie with us ll we receive the payment.
4. We have a policy of Appoin ng Stockist against Advance payment term only. Unless
specified The appointment shall be treated to be against Advance payments only.
5. Company reserves its right to cancel this appointment or appoint fresh/ as many
stockist as required in the territory without any no ce.
6. All goods above Rs.50,000 will be supplied on F.O.R. basis up to the transport in
Stockist Town/ Nearest Railway Sta on from C&F/ CSA/ Distributors, else half of the
freight shall be payable by the stockist.
7. DD/ Cheques to be given in favour of the Distributors or
M/s. SUNCARE FORMULATIONS PVT. LTD. payable at par or as advised.
8. In case cheque of any stockist bounces, bank charges @ 500/- per cheque bounced,
service charges of Bank @ 0.2% of Cheque Amount and Postage Expense of Rs. 50/-
& interest is to be paid by stockists. Minimum next 3 supplies will be given against
advance DD only.
9. The stockist is required to supply order of retail outlets/ dispensing doctors and
others booked by field force of company at the earliest.
10. A sufficient inventory of all the products marketed by the company is to be maintained.
11. The stockist will provide Sales & stock statement monthly on the prescribed form
and any other informa on required by the company me to me along with details
of slow moving, dumped stock or Near expiry ( at least six months prior to expiry date)
12. Stockist will help field force in distribu on of adver sement material, support material
sent by company to retail outlets.
13. Any payment made by stockist to the company will be the payment against the
goods supplied by C&F/ CSA/ Distributors to the stockist. The
stockist in future cannot claim any refund of payment made to company in this way.
14. Don't pay in cash to our Field staff, Representa ves, C&F/CSA/ Distributors.
NO CASH TRANSACTIONS ACCEPTED in any case.
15. You will not give goods, medicines, cash or enter into any transac on of SUNCARE or
any other company, to marke ng staff of our company.
16. You will not give any guarantee or any cash on personal basis to any marke ng
staff of the company.
17. If term no. 14, 15 & 16 are violated & some monetary loss occurs to you, for that
COMPANY/ C&F/ CSA/ Distributers will not be responsible at all and any viola on
detected shall cancel the stockist ship.
18. Our marke ng staff shall give you order from market whenever they will visit your
area or over phone, mail, whatsapp or any other medium as prevalent.
19. If quan es supplied in Invoice is more/ different than ordered, the stockist should
send le er and inform immediately by phone and fax to C&F/CSA/ Distributors and
copy of le er should be sent to SUNCARE FORMULATIONS PVT. LTD. Delhi office to
prevent dumping.
20. NO VERBAL COMMITMENT is done by the company. No commitment of Discount,
Compensa on, Replacement , Scheme, Incen ve or any kind of assurance is valid
un l it is provided in wri ng on le er pad of company signed by Director received
through C&F/CSA/Distributers or directly company. OUR SALES STAFF ARE NOT
AUTHORISED TO MAKE ANY COMMITMENT ON BEHALF OF THE COMPANY.
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21. Invoices remaining unpaid for over 21 days shall become payable along with
interest @24% per annum from invoice date ll date of payment.
22 Our packaging is tamper proof and unbreakable materials are used in packaging. S ll
if you receive any damage stock it should be returned back Immediately. You shall
send all breakage with label on the bo le/ tube or Strip intact along with neck during
the month at the end of every month on your expenses. A replacement/ credit note
shall be sent to you upon confirma on. No replacement/ credit note for breakage
etc. returned a er two months of invoice date.
23. We don't accept expiry goods. Only goods Six months prior to expiry are
replaceable. Also goods of OTC, Dispensing, Fast Track group and other goods
supplied free or under scheme or under non returnable basis are not
replaceable/ taken back. Expired goods from the market should not be taken back.
No such claim shall be entertained. The stock statement provided monthly by you
shall be taken in account for jus fying expiry at your end in case of OTC division only.
24. The stockist can be appointed for any one or all the divisions. All ma ers regarding
claim, se lement, dispute shall be dealt separately for each division.
25. You shall be responsible for any supplies/ debts/ claim/ outstandings/ li ga ons
from your end whether independently or in consulta on or acceptance of our field
staff. Company/ C&F/ CSA/ Distributors shall not be responsible.
26. Any expenses on part of local associa ons or any other for your smooth
appointment/ opera on shall be bourn by you.
27. You shall abide by all the policy decisions taken by company me to me. Any
disagreement shall automa cally cancel your stockistship.
28. Decision of the Company shall be final. All disputes subject to
DEHRADUN JURISDICTION.
We have read and understood all these terms and condi ons carefully & We agree on the same.
Terms of payment : STRICTLY AGAINST ADVANCE PAYMENT.
Appointed Stockist Name:_________________________________ HQ:_____________________
Appointed as Stockist for Market: ___________________________ For : OTC, Fas rack, Sani zer
Credit Limit Approved:_____________________________________________________________
Any Special Remark:_______________________________________________________________
________________________________________________________________________________
received one copy of this Stockist Appointment Form with Terms & Condi ons.

Signature with Date & Stamp of the Suncare Signature with Date & Stamp of the Stockist

Signature with Date & Stamp of the Witness Signature with Date & Stamp of the Witness

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 Why Is Stockist Needed?_________________________________________________________________

_____________________________________________________________________________________

What About Other Stockist In The Market (50kms)___________________________________________

_____________________________________________________________________________________

FOR OFFICIAL USE ONLY-CONFIDENTIAL REPORT-ENQUIRY REPORT

1) Enquiry Report of RSM/ ASM about stockist’s nature, financial posi on, dealing with retailer & dealing

with companies / C&F___________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Suggested credit limit to be approved _____________________________________________________

Signature of RSM/ ASM with date

2) Enquiry Report of ZSM about stockist’s nature, financial posi on, dealing with other companies and

facts of the SAP based on telephone talk with stockist and Distributor and RSM/ASM______________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Signature of ZSM with date

3) Enquiry Report of C&F / CSA/ Distributers about stockist through his sources

_____________________________________________________________________________________

Comments (Please write as you have heard) ________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

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 Market Feedback from Retailers and Doctors

4) Name of Firm/ Doctor__________________________________Phone No./ Mb. No._______________

Name of contact Person______________________________________Status_____________________

Comments( Please write as you have heard)________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

5) Name of Firm/Doctor___________________________________Phone No./ Mb. No._______________

Name of contact Person______________________________________Status_____________________

Comments( Please write as you have heard)________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

6) Name of Firm/ Doctor__________________________________Phone No./ Mb. No._______________

Name of contact Person______________________________________Status_____________________

Comments( Please write as you have heard)________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

6) Name of Firm/ Doctor__________________________________Phone No./ Mb. No._______________

Name of contact Person______________________________________Status_____________________

Comments( Please write as you have heard)________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

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