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Customer Information Form

Manufacturer : _FOOTWEAR__ (list the product)


Trader :_______________________ (list the product) For internal use only
Other :_______________________(list the product) UPC Sales Person:__________
Company Name: KR FOOTWEAR PRIVATE LIMITED Customer no: _____________
Company Address: C-361 DSIIDC INDUS. Tel: Fax:
AREA NARELA
DELHI-110040
Factory Address: C-361 DSIIDC INDUS Tel: Fax:
AREA NARELA
DELHI-110040
Mailing Address:

Company registration no.: Company Established Date:


U19201DL2003PTC122356 2003
Factory registration no.: GST/VAT no.: 07AACCK4477E1ZJ
Capital: USD Annual Revenue: USD
___________thousand ___________thousand
Form of Business: Corporation Company Limited Partnership
Sole Proprietor Other:______
Factory Factory Structure: Reinforced ConcreteBrick
Facilities: Iron Shed
Own Other:___________
Rent
Purchaser:SANDE Tel:98731 E-mail address:
EP BANSAL 42560 FOOTWEARKR@GMAIL.COM
Chairman: Tel:98731 E-mail address:
SANDEEP 42560 FOOTWEARKR@GMAIL.COM
BANSAL
Affiliated Company: (if any) Number of employees:
Sales Target: Export_______% Raw Material:

Local _______% Trading Supplier for Main Raw Material:


_______%
Revenue: Annual USD _________, Monthly USD _________,
Peak Season USD _________, Off-Season USD___________
Sales Status: Poor to Fair Moderate Good
Excellent
Name & Quantity of the Product purchase from UPC:

Payment Term: T/T in advance L/C at sight LC


usance___days
After delivery ____days by cash Monthly delivery ____days by
cash
Document for Payment: Invoice Invoice, Statement of Account
& Delivery Order
Invoice & Delivery Order
Payment Date: Fixed Payment Date (Every ____thof the Monthor
Every week ____day ) No Fixed Date
Payment Method: Collect from customer Bank Transfer or T/T
Send by Post Other_______
Payment Type: Cash Company (LC/cheque) PIC (LC/cheque) Other_______
Remarks:

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