Patanjali Distributors Data Sheet

Name of the Firm:

Address of the firm:

Town Name: Pinocde:

District Name:

State:

Contact Numbers:

Contact Persons: with title

Tin No:

PAN Card No

Drug License No

FSSAI No

Partnership / Proprietor/Private Ltd/ Public Ltd

Detail of the Owners

Name:

Contact Number:

Experiences in Business:

Name of the Company Dealing Present:

Name of the Company Handled past:

No of Year in Exp:

Annual Turnover in Rs lakhs Value:

No of Outlets Covered at Present:

Area Covered:

Area Planed to Covered:

No of Salesman Plan for Patanjali:

No of Delivery Van for Patanjali:

Godown Space for Patanjali:

Office Space for Billing Etc.:

Date

Place Seal and Signature