Name of the firm:

Address :

Sales Tax Registration No (Local) :

(Central) :

Phone :

Fax :

Mobile :

E-mail :

Year of commencement :

Constitution of firm :

Name of Proprietor / Partners :

Partner's Address :

Phone :

Companies being handled at present :

Annual Turnover (This year) :

(Last year) :

(Last to last year) :

Name of the towns covered :

No. of delivery vans :

No. of salesmen :

Any company stockship left in last 1 yr :

Mode of payment :

Name of bankers :

Banker's Address :

Any other information :