*Print this form and send to us after filling all necessay informations.
 
DEALERSHIP APPLICATION FORM
For Listing Stockiest under the branded product Kanak's (Div. of Maytag Udyog Pvt. Ltd)
Date: ______________
To,
MAYTAG UDYOG PRIVATE LIMITED
(Division: Kanak's 62-C, Mittal Towers, 6th Floor,
Nariman Point, Mumbai-400021, India
Dear Sir,
Application form for Stockiest Enrollment
I have read and understood the entire terms & conditions for enrolment as a stockiest of the products of the company and wish to apply for enrolling myself for the same. I give here below my particulars & details for your kind consideration.:-
PLEASE FILL IN THE DETAILS CORRECTLY AND ATTACH YOUR TWO PHOTOGRAPHS.
NAME
:
_______________________________________
FATHER'S/HUSBAND'S NAME
:
_______________________________________
OFFICE ADDRESS
:
_______________________________________
 
:
_______________________________________
CITY
:
_______________________________________
DISTRICT
:
_______________________________________
STATE
:
_______________________________________
PINCODE
:
_______________________________________
TELEPHONE
:
_______________________________________
FAX
:
_______________________________________
EMAIL-ID
:
_______________________________________
BUSINESS/TRADE TYPE
:
_______________________________________
EXPERIENCE IN
JEWELLERY MARKETING
:
_______________________________________
Do you own the House?
:
Yes No
ADDRESS
:
_______________________________________
 
:
_______________________________________
CITY
:
_______________________________________
DISTRICT
:
_______________________________________
STATE
:
_______________________________________
PINCODE
:
_______________________________________
TELEPHONE
:
_______________________________________
 
Are you in the related business?
Yes No
If yes type , extent & nature of business:-
 

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Do you find yourself comfortable with jewellery Business:-
:
Yes No
If Yes , factors in support of your claim.
 

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Do you likes social gathering?
:
Yes No
How frequently do you meet or attend Social gathering?
      Weakly             Fortnightly      Monthly
    less than one above    More than three above
How quickly you make friends? (Please tick any one)

   Instantly
   Take sometime
   Wait for the formal introduction
   I take too long before to understand a friend.

Are you a member of any club?
If yes name of all the clubs/institution
Yes No

________________________________________________________________________________

________________________________________________________________________________

Are you member of any social work group?
Yes No
If yes name of all the groups
 

_________________________________________________________________________________

_________________________________________________________________________________

If you are a lady, are you a member of kitty group?
Yes No
How many members are in the kitty group
PROPOSED DEPOSIT
:
 Rs. ______________________
(Please note the minimum amount of deposit required to become the stockiest would be Rs. 2.00 Lacs)
 
 
REASONS FOR OPTING DELAERSHIP OF KANAK'S :

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

I confirm having read and understood the terms and conditions for the appointment of dealership of Kanaks'. I am now forwarding this application for your approval, to appoint me as a stockiest. On receipt of a confirmation I shall immediately place with you the deposit amount as proposed by me above, and execute all and every document that may be required by you.

 

Thanking You,
Yours Faithfully,

 
 
 
 
 
Name of the applicant
:

_________________________________

 
 
Signature of the applicant
:
_________________________________
 
 

 

(in case of firm please affix Rubber-stamp
& state the designation)

 

 

 

(in case of Body Corporate please affix Rubber-stamp & state the designation And attach resolution of Authority)