BECOME A AZIP LUBRICANTS DISTRIBUTOR

1. General Dealer Information:

Name of the firm:

Name of principal Contact Person:

Address:

Country:

State:

District:

Phone:

Email:

GSTIN:

Please upload your GST Document (upload limit should less than 3 mb)

PAN No.:

Please upload your PAN Document (upload limit should less than 3 mb)

Adhar No.:

Please upload your Adhar Document (upload limit should less than 3 mb)

Type of Firm:

2. Current Business Information:

Business activities:

Whether having experience In lubes trading:
If yes, please list the name of authorized distributorship: -

Brands of lubes being Handled:

Nature of Trading in Lube:

Average lubes sales per month of all brands:

Main Customers:

Area of operation:

Detail of non- lube activities:

3. Facilities available for Lubes business (please select):

Office space:
Retail outlet:
Warehouse:
Sales persons:
Delivery Vehicle:
4. Financial Information:

Annual Business:- Total: (last 3 year)

Name of Banker:

Bank over draft limit:

Own Investment in Business:

5. Expected Sales:

Monthly volume (KL):

Yearly volume (KL):

Second Year volume (KL):

Investment planned for Azip Lubricants:

Target market:

Dealer Signature:
Please upload your signature image (upload limit should less than 1 mb)

I hereby declare that the above information is true.

PAN INDIA DISTRIBUTION FORM