Fields marked with (*) are mandatory 
INQUIRY FOR
 
 
GENERAL INFORMATION
 
 
Full Name:*
Age:
Qualification:
 
 
 
CONTACT INFORMATION
 
 
Premises name:
Place: Tal: Dist:
Tel: Mobile:* Fax:
Email:
 
 
 
  BUSINESS INFORMATION  
     
  Details of current dealership:  
 
Sr.No Product Company Sales (In Rs)
 
 
  Details of employed staff:  
 
Office Staff:   Field Staff:
 
 
 
  ASSETS  
     
  Infrastructure :  
 
Godown:  (If Yes, provide details)
Type:
Area (In sqft):
Address:
 
 
  Vehicles :  
 
Personal:  (If Yes, provide details)
  Type:   Number:
Commercial:  (If Yes, provide details)
  Type:   Number: