MOBILE N MORE

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ON-LINE FORM

MOBILE N MORE
(Application Form for Franchise)

Name of the Company :

Full Postal Address :

District :

State :

Telephone :
Fax :
E-mail :
Mobile :

Sales Facilities :

Address of Office or Shop :

Type of Concern :		Proprietorship Partnership Company
Number of Employee :
Sales Staff / Office Staff

Year of Establishment :
Sales Tax No.
Annual Turnover

Party’s Assets :
A) Total Fixed Assets worth Approx. (Lacs)
B) Total Working Capital Employed Approx.(Lacs)

Name and Address of Party’s Bankers:
Scheduled Bank : Scheduled Bank: Scheduled Bank:		Yes/No Yes/No Yes/No

Party’s Shops and Office:
Shops in Sq Ft :-
Office in Sq Ft :-

Existing Authorized Distributorship / Dealership Details If Any
1) Name of the Company
2) Startup year
3) Security Deposit
4) Products Handling
5) Territory Covered
6) No. of Dealers Handled
7) Investment (Rs.)
8) Turnover (Rs.)

Proposed Investment (Lacs): Rs.

Retail Universe:
1) Cellular Operator Name
2) Pre-Paid Retailers
3) Post Paid Retailers
4) Total

Handset :
1) Area Covered
2) No. of Retailers

Accessories :
1) Area Covered
2) No. of Retailers

Reference Check : (a) Bank
1) Name of the Person Contacted :
2) Phone Number :
3) Party Known to Bank since :
4) Party’s Finance Dealings :
5) Type of Facilities availed by Party’s a/c :

(b) Wholesalers/Retailers :
1) Business Relation of the Party:
2Dealings/Finances/Pluses/Minuses:

No of Persons
A) Technical
B) Others

No of years of Experience

If required are you willing to act as our service center

If appointed as service center would you send your Service engineer at your own cost

Details of Service equipment’s/Tools