Pratigya Enterprises Pvt. Ltd.
Pearl’s Omaxe Tower, Netaji Subhash Place, Above Skoda Car Showrrom, Pitampura, New Delhi - 110 034, INDIA
E In India associated with Arabol Lubricants Manufacturing LLC-DUBAI
APPLICATION FORM FOR Distributorship
(Details of Area as below)
A) DETAIL OF THE Distributorship
1. Name
Key man - Name / Place / Mobile No.
2. Address
i)  Office
ii)  Weekly Off
iii) Communication
iv)  Godown
v)  Weekly Off
3. Phone (s) with STD Code(s)
i)  Office(s)
ii) Residence(s)
iii) Godown(s)
iv) Mobile(s)
Name(s)
v) Fax No.
vi) Any other location(s)
4. E-mail ID(s)
5. Website
6. TIN No.
7. Proprietorship / Partnership / Pvt. Ltd.
a)  If Partnership,
i)  (Please tick ( ) / Registered Unregistered
If registered, Registration No.
Attested copy of RC attached Y N
ii) Names and Address of Partners / 1.
2.
3.
4.
5.
iii) Please attach Copy of Partnership Deed / Partnership Deed attached (attested copy)
Y N
iv) Please Provide details of other businesses, if any
b) If Private Limited, please attach Memorandum and Articles of Association / Memorandum and Articles of Association attached (attested copy)
Y N
8. PAN No. / I) Company
ii) Partner(s) / Promoter (s)
Y N
iii) Proprietor
9. Established since
B) FINANCIAL DETAILS
i)  Banker’s Name
ii) Banker’s Address
iii) Bank Limit, if any Detail Briefly
iv) Working Capital (Rs.)
v) Investments Held in our products (Rs.)
C) DETAILS OF INFRASTRUCTURE
1. OFFICE(S)
i) Size - square feet
ii) Owned / Rented
2. GODOWN(S)
i) Size - square feet
ii) Owned / Rented
iii) No Entry - Restrictions, if any
iv) No Parking - Restrictions, if any
v) Loading / Unloading - Restrictions, if any
vi) Situated (Please tick ( )) / Basement / Ground Floor / Floor:1st / 2nd / 3rd
vii) Is Godown within the Octroi Limits (Please tick ( )) / Y N
viii) If Octroi applicable, Rate of Octroi
3. SELLING ARRANGEMENTS
i) Delivery Van(s)
ii) Three Wheeler(s)
iii) Two Wheeler(s)
iv) Auto Rickshaw(s)
v) Rickshaw(s)
vi) Others, please specify
4. SALES STRENGTH
I) Sales Man
ii) Delivery Man
iii) Counter Staff
iv) Private Hawker’s
v) Others, please specify
D) PRODUCTS CURRENTLY HANDLED
s.
No. / Brand / Name of the Company / Status of Association: (Distributor / CSA / CFA
/ Stockist / Wholesaler / Super Stockist etc.) / Area (s) Covered / Turnover Rs. p.m.
E) AREA OF GEOGRAPHY
A) Population of town:
B) Nearest Railway Station:
C) Nearest Airport:
D) Nearest Radio Station:
E) City Cable TV Operators:
F) Name of Mobile Operators:
G) No. of Cinema Halls in Area:
H) No. of Malls in the Area:
F) PRODUCTS TO HANDLE / Automotive & Industrial oils & Lubricants including Transformer Oil
G) Other Business - Sister Concerns / Group Firms. If Yes, please provide name and address / 1.
2.
3. / Products Handled
H) Agreed Security Deposit
Any other Deposit (Details) / Rs.
I) RELATIVES AT PRATIGYA INTERPRISES PVT. LTD./ ARABOL LUBRICANTS MANUFACTURING LLC 1. DO YOU HAVE RELATIVES IN PRATIGYA INTERPRISES PVT. LTD./ ARABOL LUBRICANTS MANUFACTURING LLC
PLEASE TICKS 2. IF YES, PLEASE PREFERRED DETAILS
J) NAME OF PREFERRED TRANSPORT COMPANY
K) Any additional information you wish to give about your concerned market
L) DECLARATION
1.  I / We certify that the foregoing information is correct and complete to the best of my / our knowledge and belief and nothing has been concealed. If at any time, I / We are found to have concealed any information or given any incorrect details, our appointment shall be liable to summary termination without any notice or compensation.
2.  I / We promise to abide by the company policies and system in respect to market coverage, uniform pricing to Retailers, utilization of Trade Scheme, utilization of Below the Line Promotional Budgets and any other policies and systems implemented from time to time. If we fail to do so, the company is at liberty to terminate myself / ourselves at any time and can take appropriate measures to market their products in our area. I / We also hereby confirm that we are jointly / and or severally liable for any dues payable to the company on our resignation / termination of appointment.
Date :
Place :
Signature of the Proprietor / Partner(s) / Authorized Director With Rubber Stamp
For Internal Use Only:
A) Sales Department:
Recommended By / Signature: / Name: / Date:
Approved By / Name: / Date:
B.H
Note: 1. Please fill complete details so as to enable us to shortlist you on a priority basis.
2. Kindly attach sheets wherever necessary
3. Please enclose 2 Photos of proprietor or partner, PAN card copy, Sales tax Registration copy/ Proof of Address of Business Point.