Application for Dealership

Personal Information

Father's Name:
Organization Name:
Date of Birth:
Contact Number:
E-mail Address:
Present Address:
Permanent Address:
NID Number:
Trade License:
E-TIN Number:
Add Photo:

Business Information

Name of Trade:
Shipment Address :
Size of the Store :
Monthly Turnover:
Dealer Ship of Other Brand:
SL. No Brand Name Monthly turnover
Estimated sells target of this brand:
Preferable Business Transaction system : Cash Credit

If applied for credit facility

Application for Maximum credit limit :
Type of guarantee for credit limit : Bank guarantee Local L.C

Market Information

Retail Market :
SL. No Name Of Market No of retail shop Max Market Demand
Construction Site :
SL. No Area Name Nearby Market Site Total Demand Existing Total