Distributors Application Form
Consumer Feedback Form
Job Application Form
Transport Contractor Application Form
Suppliers Application Form
 
Apply To
1 Name of the applicant
2 Postal Address
3 Permanent Address
4 Occupation / Business
5 Experience in consumer line and products
6 Area applied for Agency
7 Can you provide a place for business Yes No
8 if yes, full address
9 Can you provide a vehicle for distribution of our products Van Auto Tricycle Bicycle
10 Approximate turnover expected
11 Can you pay a security/agency deposit as reqd by the company Yes No
12 Do you agree to the terms of the company that agency/security deposit will be refunded only after 2 months of the termination surrender of the dealership/agency Yes No
13 Name of your Bank/s
14 Name & Address of two persons to whom reference can be made
15 Any Other information