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NAME OF APPLICANT

NAME OF THE COMPANY/FIRM

EMAIL

MOBILE

LANDLINE

ADDRESS

LEVEL AT WHICH YOU CAN BECOME A DISTRIBUTOR

STATE

DO YOU HAVE ANY EXPERIENCE OF OTHER DISTRIBUTION?

YES NO

DISTRICT

IF YES, BRIEF HISTORY OF THE PRODUCTS OF THE DISTRIBUTION BUSINESS YOU HAVE DONE SO FAR.:

IF NO, THEN GIVE DETAIL OF YOUR PRESENT BUSINESS.:

NAME OF THE COMPANY FOR WHOM YOU HAVE ALREADY DONE THE DISTRIBUTION (5 OPTIONS - YEAR FROM TO) :

YEAR FROM

YEAR TO

COMPANY

LAST ONE YEAR TURNOVER? (IN RS LAKHS)

NO. OF SALE PERSON

INVESTMENT CAPACITY (IN RS LAKHS)

Less Than 20 21-50 51-100 Above 100

AREA OF WAREHOUSE (IN SQ.FT.)

Less than 5000 5001-10000 10001-25000 Above 25000

NO. OF TRANSPORT VEHICLES (DON`T INCLUDE TWO WHEELERS)

Yes, I agree to receive, via email.

Deltora Biopolymers Private Limited is one of the leading manufacturers of compostable materials and compounds in the country