ASSESSMENT FORM FOR NEW CP
(1)
BU
*
(Select at least one BU)
LIGHTING
WIRES & SWITCHES
FAN & GEYSERS
MOBILE
NAME OF THE FIRM
*
CORRESPONDENCE ADDRESS
*
STATE NAME
*
CITY NAME
*
DISTRICT NAME
PIN CODE
*
TELEPHONE NO.
MOBILE NO.
*
RESIDENTIAL/PERMANENT ADDRESS
*
EMAIL ID
*
FAX
PANCARD NO.
*
RECOMMENDED BY
*
(2)
STYLE OF FIRM
*
--Select--
PROPRIETORY
PARTNERSHIP
OTHERS
DATE OF ESTABLISHMENT
Select Date
NO. OF COMPUTERS AVAILABLE
(a) Click here for
INFORMATION ABOUT PROPRIETOR/PARTNERS/MANAGER
*
INFORMATION ABOUT PROPRIETOR/PARTNERS/MANAGER
(3)
NAME
*
AGE
*
QUALIFICATION
*
POSITION
*
EMAIL ID
*
PHONE NO.
*
PHOTOCOPY TO BE ATTACHED
*
--Select--
YES
NO
(4)
CST NO.
TIN
*
(5)
BANKER WITH POSTAL ADDRESS
*
BRANCH
MANAGER'S NAME
TELEPHONE NO.
PARTY SOURCE OF FUNDS
*
--Select--
BANK CREDIT LIMIT
OWN FUNDING
(b) Click here for
CURRENT BUSINESS LEVEL OF PARTY
*
CURRENT BUSINESS LEVEL OF PARTY
(6)
COMPANY REPRESENTED
*
PRODUCTS HANDLED
*
DSTRBTR/STKST
/DEALER
SINCE WHEN
*
ANNUAL SALES Rs.L
*
PAYMENT TERMS
--Select--
DISTRIBUTOR
STOCKIST
DEALER
Select Date
--Select--
DISTRIBUTOR
STOCKIST
DEALER
Select Date
--Select--
DISTRIBUTOR
STOCKIST
DEALER
Select Date
--Select--
DISTRIBUTOR
STOCKIST
DEALER
Select Date
--Select--
DISTRIBUTOR
STOCKIST
DEALER
Select Date
OTHER MISCELLANEOUS PRODUCTS
TOTAL ANNUAL TURNOVER OF THE PARTY Rs. L
(c) Click here for
BRANCHES/SISTER/GROUP COMPANIES INFORMATION
*
BRANCHES/SISTER/GROUP COMPANIES INFORMATION
(7)
NAME
LOCATION
ACTIVITY
TURNOVER Rs. L
(8)
SEGMENTS COVERED
*
--Select--
RETAIL
PROJECTS
OEM & INDUSTRY
GOVT.
INFRASTRUCTURE
NAME OF FEW MAJOR CUSTOMERS
*
(9)
REFERENCES
NAME
COMPANY
MOBILE NO.
1 MAJOR CUSTOMER
*
1 REPUTED TRADER
(d) Click here for
INFRASTRUCTURE AVAILABLE & MANPOWER AVAILABLE
*
INFRASTRUCTURE AVAILABLE (In sq.Feet)
(10)
LOCATION
*
OFFICE/SHOP AREA
*
GODOWN AREA
*
MANPOWER AVAILABLE
(11)
MANPOWER AVL.
*
FAMILY
COUNTER
FIELD SALE
GODOWN
TOTAL
NUMBER >>
(e) Click here for
BUSINESS COMMITMENT
*
BUSINESS COMMITMENT (EXCLD. SALES TAX) FOR EON ELECTRIC PRODUCTS BEING MADE BY THE PARTY
(12)
PERIOD
COMMITMENT/TARGET AGREED Rs. L
FROM
*
Select Date
WIRE
SWITCH
TO
*
Select Date
FAN/GEYSER
LIGHTING
MOBILE
CHEQUE DETAILS
DATE
BANK NAME & CHEQUE Nos.
AMOUNT
ENCLOSED
DEALER DETAILS
Select Date
--Select--
YES
NO
BUSINESS COMFORT (2 CHQS)
--Select--
YES
NO
CHEQUE TO BE PREFERRED OF NATIONALISED BANK OR OF SCHEDULED BANK
CERTIFIED THAT ABOVE INFORMATION IS TRUE. WE HAVE READ & AGREED TO CO. CP POLICY BUSINESS COMFORT CHQ ATTACHED:
NAME
SIGNATURE
RUBBER STAMP OF CP
(e) Click here to attach
DEALER CERTIFICATES
*
LATEST DEALER CERTIFICATES OF THE PARTY
(13)
Attach Photo (jpg,jpeg,png only)
*
SALES PERSON NAME
VERIFIED BY
*
SALES OFFICE