KERALA AGRO MACHINERY CORPORATION LIMITED

ATHANI – 683585, ERNAKULAM DISTRICT

PHONE: 0484-2474301 (5 lines), Fax: 0484-2474589/2475801.

E-mail : , Web site:

APPLICATION FOR DEALERSHIP CLUSTER-3

1.0 / Name & Address of the organization
1.1 / Name of Contact Person
1.2 / Telephone (with STD Code)/ Mobile:
1.3 / FAX :
1.4 / E-mail Address:
1.5 / Pan Card No.
1.6 / TIN
1.7 / CST Number
2.0 / Class of the Organization
(Tick whichever is applicable) / Proprietary/ Partnership/ Co-Operative/ private Limited/ Public Limited/ Government Sector/ Others
2.1 / Address of Showroom:
2.2 / Address Of Workshop
2.3 / Address of Branches, if any
2.4 / Name of the Applicants Bank & Address of the Branch, Branch Code & Current Account Number of Applicant.
3.0 / Area/ Territory/ Region for which dealership is preferred, in order of priority.
3.1 / Present Activities of the Applicant’s
Experience in Agricultural Machinery
3.2 / If Authorized Dealer of any product, details of Dealership (Attach Product Leaflets)
Main product/ / Brand/Make / Area of dealership / Quantity sold per Annum (Nos) / Annual Sales Turnover(Rs.lacs)
3.3 / Turnover during last three years
(Rs) / Year: / Year: / Year:
3.4 / Details of Sales and Service Personnel Employed

Name

/ Qualification / Experience
3.5 / Are you prepared to make one time interest free deposit of Rs. 30 Lacs / Yes
No
3.6 / Initial investment which you are ready to make (Rs.) / < 30 Lacs
30 Lacs – 50 Lacs
Above 50 Lacs
3.7 / Readiness to provide bank guarantee / Yes
No
4.0 / Please indicate below the approximate population of the following machines in the area preferred by you. / Attach Leaflets of Different Make/ Brand
Machines / Make/Brand / Quantity (Nos)
1. Power Tiller
2. Tractor
3. Power Reaper
4. Garden Tiller/ Power
Weeder
5. Brush Cutter
5.0 / Please indicate below the potential demand and minimum guaranteed sale of KAMCO products for the next year in the preferred area for dealership
Machine / Potential Demand per Annum (Nos) / Guaranteed Sale Per Annum
(Nos)
KAMCO Power Tiller
KAMCO Power Reaper
KAMCO Tractor
KAMCO Garden Tiller
KAMCO Brush Cutter
6.0 / Any other information you like to furnish

7.0 Attach the following documents

  1. PAN Card & IT return for last 3 years.
  2. TIN registration.
  3. CST registration.
  4. Class of organisation.
  5. Ownership of premises.
  6. Statement of accounts for last financial year
  7. Proof for dealership of present products.

Signature:

Name:

Place: Designation:

Date: Seal:

For KAMCO use only
Date of receipt of Application
Preliminary Assessment
Check whether documentary proof are attached
Site visited on
Recommendations after site visit
Final recommendation
Dealership Agreement Signed on

Signature:

Designation: