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    Partner Application Form v3.0 - DW Putty

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    GOPAL TRIVEDI
    This document is a channel partner application form for a company. It requests information such as the applicant's name, firm details, years in business, expected annual turnover, current business lines and retailers. It also requests contact information, address, tax IDs, security cheque details and mandatory documents to attach. The applicant signs to confirm the truth of the information provided and agrees to notify any changes.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Partner Application Form v3.0 - DW Putty

    Uploaded by

    GOPAL TRIVEDI
    56 views3 pages
    This document is a channel partner application form for a company. It requests information such as the applicant's name, firm details, years in business, expected annual turnover, current business lines and retailers. It also requests contact information, address, tax IDs, security cheque details and mandatory documents to attach. The applicant signs to confirm the truth of the information provided and agrees to notify any changes.

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    This document is a channel partner application form for a company. It requests information such as the applicant's name, firm details, years in business, expected annual turnover, current business lines and retailers. It also requests contact information, address, tax IDs, security cheque details and mandatory documents to attach. The applicant signs to confirm the truth of the information provided and agrees to notify any changes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    56 views3 pages

    Partner Application Form v3.0 - DW Putty

    Uploaded by

    GOPAL TRIVEDI
    This document is a channel partner application form for a company. It requests information such as the applicant's name, firm details, years in business, expected annual turnover, current business lines and retailers. It also requests contact information, address, tax IDs, security cheque details and mandatory documents to attach. The applicant signs to confirm the truth of the information provided and agrees to notify any changes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    CHANNEL PARTNER APPLICATION FORM – A

    (To be filled by the Channel Partner)

    1. Full Name of the Applicant …………………………………………………………………

    2. Name of the firm (attach visiting card) …………………………………………………………………

    3. Type of the firm …………………………………………………………………

    (Proprietor/Partnership/Private)

    4. Complete address of the firm …………………………………………………………………

    …………………………………………………………………

    5. Contact details – Mobile …………………………………………………………………

    -- Landline …………………………………………………………………

    6. Email id …………………………………………………………………

    7. Years in business …………………………………………………………………

    8. Turnover expected annually in Rs …………………………………………………………………

    9. Current Business lines :

    BRAND PRODUCT ROLETURNOVER ( Lacs/Mth )

    1.

    2.

    3.

    1
    10. PAN Number …………………………………………………………………

    11. GST Number …………………………………………………………………

    12. Income Tax Number / TAN …………………………………………………………………

    13. Expected business in lacs per month:

    Total …………………………………………………………………

    14. Number of sales staff …………………………………………………………………

    15. Godown Details (Size, Location) …………………………………………………………………

    16. Number of retailers in your Network ………………………………………………………………..

    17. Expected sales from your counter …………………………………………………………………

    18. IT Details : ( Please the IT Support systems available at your shop )

    Laptop/Computer:  Internet  Printer

    S No: Name of the Shop Contact Person Cell No: Address Turnover (Lacs / Mth)

    Top retailer details

    2
    19 Security Cheque Details
    a. Cheque # ………………………………………………………..

    b. Drawee Bank ………………………………………………………..

    c. Dated …………………………………………………………

    The above particulars are true to the best of my knowledge and belief. Any change in information will
    be intimated to you immediately.

    Date: Signature of Applicant ( with firm seal )

    ___________________________________________________________________________________________________________

    Mandatory Documents to be attached with seal and sign:

    1. One passport size photos of applicant(s).


    2. Two visiting cards of the firm.
    3. Attested copy of address proof.
    4. Attested copy of PAN No:
    5. Attested copy of GSTN:
    6. Aaadhar copy
    7. Authorization letter Except Proprietorship firms

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