Be Our Distributor

Company Name:

Name of Owner:

Father Name:

C.N.I.C No.

Cell:

Phone:

Fax:

Email:

Bank:

Title of A/C:

A/C #:

Branch:

City:

Year of Establishment:

Address:

Nature of Establishment -Proprietorship/ Partnership/Private Limited.

Name of Proprietor/ Partners:

Area of Working:

Working Structure Salesman:

Vans:

Others:

Already Registered with an other Organization.

Company Name:

Date Of Appointment

Name of Brand

Since How Long

Establishment Monthly Sales in Rupees

My Works Business/Godown Premises can be inspected anytime by any officer of Country Plus Foods.

I do here by declared that the particular furnished above, or Correct to the of my knowledge and belief and I understand that any mis-statement here in if and when discovered shall render my liable to instant this qualification as a distributor apart from any other action that may be called for under the Law. I also declared that I will abide by the rules and regulation of the Company.