ENFIELD SOLUTION PVT. LTD.

XXXXXXXXXXXXX UK-7
PHONETERMS OF APPOINTMENT AS DISTRIBUTOR
1. Name of the party M/s..............................
2. Address (Office)
3. Address (Residential)
4. Telephone: Office...... Residence.Mobile.
5. Year of Establishment
6. Constitution: Private Limited

Partnership

Co-op.

Proprietorship

7. Full particulars of Directors / Partners / Proprietors:

Sl

Name:

Qualification:

Experience in the related

field in years

01
02
03
04
8. Type of Business: Wholesale

Retail

Commission Agents

Stockiest

9. Territory for work:

No.
Market / Beat in the Territory
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total outlets (Approx) in the Territory

Total outlet No.

Covered

10. Particulars of official Banker:

a) Bank name...
b) A/c no:.
c) A/c type:..
d) Branch name:...
e) Branch code:.

f) IFSC Code:...

11.Name of logistic management group through whom goods may be dispatched:

a) Full address with contact no. of local transporter..
b) Full address with contact no. of Kolkata office...

12.Total No. of staff employed in your organization.

13.Delivery Facilities

Mode:

Van

Scooter

Cycle

Hand Cart

14.List of Agencies held & their Annual turnover:

No.
1.
2.
3.
4.

Agency Name

Turnover in (Lakh)

15.a) Show Room:

Location Population of Area.
Area of shop.Sq./ft

16.Facilities of the Customers:

a) Do you extend credit to customers?

Yes / No.

b) If yes, how much % of sales is on credit terms?

. %

c) Do you give after sales service?

Yes / No.

17.Any other information:..

Please enclose the following along with this form
a) The copy of Trade Licence.
b) The copies of VAT / CST R/C
c) The copy of company Pan Card
d) The copy of Partnership deed
e) Solvency certificate
f) Voter card of Directors / Partners / Proprietor
g) Pan card of Directors / Partners / Proprietor
h) Passport of Directors / Partners / Proprietor
I agree to abide by the terms and condition as laid down by the Company from time to time and the
information furnished above are all true to the best of my knowledge & belief.

Place

Signature..

Date.

Name in BLOCK LETTERS

Designation..
Rubber stamp

_________________________________________________________________________

Form: - T-I
We furnish herewith the terms & conditions as applicable to our business relationship
which is an integral part of appointment of yours as distributor of our company.
Terms and Conditions as follows
1. You are to provide all sorts of sales related services to the re-distribution points within the area
allotted to you whereas company had agreed to extend all assistances and co-operation for the
relation and growth of business in your area.
2. Payment to be made within 30 days from the date of invoice. If not paid within due date or paid in
partial, unpaid amount shall attract compounded monthly interest @3% per month.
3. In case of manufacturing defects, they same should be immediately brought to the notice of the
company and be claimed within 1 month from the date of receipt of goods. No claim for
refund/return of goods shall be entertained beyond that period.
4. Sales promotion schemes shall be notified by the company in writing from time to time. Company
shall not be responsible for any the scheme not authorized in writing by the company if
implemented.
For

Authorized Signatory

Terms Accepted

Signature of the Distributor

( Seal & Date)
________________________________________________________________________
(FOR OFFICE USE ONLY)

Verifications / Authentications
Level I - Sales Representative
1. Documents Checked
2. Cheque Received
3. Recommended for Distributorship

Level II - Sales Manager

1. Documents Checked

Signature of Sales Representative

2. Cheque Received

Signature of Sales Manager

3. Recommended for Distributorship

Level III Accountant

1. Documents Checked
2. Cheque Received

Signature of Accountant

____________________________________________________________________
Level IV Director
1. Recommended for Distributorship
Signature of the Director
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