Dealers

    Division*

    Name of Applicant *

    Name of the Company/Firm *

    Email*

    Mobile *

    Landline *

    Address*

    Level at which you can become a distributor* *

    Select State *

    Select District *

    Do you have any experience of FMCG distribution / Wholesale distribution / Other distribution?
    YesNo

    If Yes, Brief History of the products of the distribution business you have done so far.

    Name of the company for whom you have already done the distribution

    Year From
    To
    Year From
    To
    Year From
    To
    Year From
    To
    Year From
    To

    If No, then give detail of your present business.

    Last One Year Turnover?(In Rs Lakhs)*

    Investment Capacity (In Rs Lakhs)*

    Area of Warehouse (in sq.ft.)*

    No. of Sale Person*

    No. of Transport Vehicles (Don`t include Two wheelers)*

    Note

    A. If you accept the above terms and conditions and is ready to give us all the information’s mentioned above then please attach your last year ITR (Income Tax Return) and balance sheets with this application form and send to Email ID. kapila@gmail.com.

    B. Are you already engaged with kapila pariwar?

    If other

    C. The Person who deals with the trade of Intoxication Business are not eligible to fill the form because our organisation is a Social and Spiritual Organisation