Anne

exure1 1
Ann
nexure

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

DISTRIBUTOR A
APPLICA
ATION FORM

NAME:__________
_
___________
___________
______

APPLIEDFO
OR:_________________________
AREAA

Thisapplicationform
m,oncecom
mpleted,hastobesentttothefollow
wingaddress:

RohitCho
oudhri
JindalSte
eel&PowerLimited
JindalCentre
2Sector32
PlotNo.2
NearExitt10
Gurgaon122001

Foranyq
query/clarification,ple
easecontactt097112088015

Checklistt:
S.No
Annexu
ure1
Annexu
ure2
Annexu
ure3

Particularss
Application
n
BankersDeclaration
SelfDeclaration

Allpagesstobedulysigned

Pagge|1

Anneexure1

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

COMPANY/FIRM
DETAILSSOFTHEC

Pho
otograph off

A
Applicant
Name:__
__________
___________
__________
____________

OfficeAd
ddress:____
___________
__________
____________

Tel:____
___________
__________
___________
____________

Fax:____
__________
___________
__________
_____________

Email:__
___________
__________
___________
____________

CorporatteStatus:Pu
ublicLtd./P
Pvt.Ltd./Paartnership/Proprietaryy.

Establish
hedSince:

Name(s))oftheMan
nagingDirecctor:
Name
Teel.No.
Address

NameoffWorkingPa
artners/Pro
oprietor:
Name
Address

TeelNo

ResidentialAddress((es)andTel.Nos.Ofthe
eManagingD
Director/Wo
orkingPartn
ners/
Personhandlingdaytodayoperrations:____
______________________
__________________________
Tel:_____
__________
___________
__________
____

Email:__
___________
__________
___________
____
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Anneexure1

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

GODOWN/WAREHOUSEFACILITIES

__________
____
Address:__________

GodownArea:_____
___________
__________
___________________________________

CoveredorOpenAre
ea:________
__________
___________________________________

Detailsofhandlingequipments:__________
___________
_________________________
DetailsO
OfBending/R
RebundlingFacility:____
___________________________________
Withinth
hecityoroutside______
___________
_____________

IfOutsid
de,distancefromtheCitty:________
___________
___________________________________

ORGANISSATIONDET
TAILS

Personauthorizedto
otakedecisio
onsalongwithDesignattion:____________________

___________
__________

No.ofSaalesStaff:__

NoofSup
pportStaff:_
___________
__________
_
(MIS,Acccounts,etc)

Totalstafff:________
___________
__________
_

Pleaseatttachorganizzationalchart.

Pagge|3

Anneexure1

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

Bankersdetails(WorkingCapitaal&Borrowiingdetails)
Nameofthe
Typeof
creditlim
mit(if
A
Account A
Authorized Address&
ba
ank:
account:
any)//WC
no.:
ssignatory:
Telno.
Limit//CC
Limit//OD
Limit/O
Other
borrow
wings

Capitallikelytobein
nvestedinJSSPLProducts:___________________________________________

CanwerrefertoyourrBanker:Yess_____No_____

SalesTaxxRegistrationNo.: Central:_____
_________________Loccal:______________________

TINNo.:__________
___________
_

BUSINESSSDETAILS

DateofC
Commencem
mentofBusiiness:______
_______________________

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Anneexure1

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

BU
USINESSDETTAILSOFTM
MTREBARS

ProductssDealtwith((TMTLongsFlatsCement)___________________________

Detailso
ofExistingTM
MTBusinesss(s):
Tonna ge(t)
Turnovervalue(Rs.Crs)
SlNo
Year
Nameof
ufacturer
manu

Detailso
ofOtherStee
elProducts:
SlNo
Year
Nameof
Tonna ge(t)
Turnovervalue(Rs.Crs)
manu
ufacturer

Pleaseatttach3yearssAuditedBaalancesheetandP/LAcccount

Numberofretails/d
dealersinNe
etwork:____
_____________________________________________

Doyouh
haveanyveh
hicletosupplythematerrialtodealerrs/retailerss:______________________

Presentlyydealinganyycompetitorsproduct(ss):__________________________________________

easeprovide
ethefollowingdetails:
Ifyes,ple

mpetitorpro
oducts:____
___________
__________________________________
1.Yearofstartofcom

etitorsName
e:________
___________
____________________________________________
2.Compe

eofacceptanceofourproposalwhaatwouldyouuproposeto
odowithyourexisting
3.Incase
competittorproduct:__________
__________
_____________________________________________
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Anneexure1

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

Doesyou
urfamilyme
emberimme
ediateorexttendedhaveeanyTMTd
distributorsh
hip.Ifyes,
pleaseprrovidedetaiilsasunder

Detailso
ofTMTDistriibutorship:

SlNo
Year
Tonna ge(t)
Turnovervalue(Rs.Crs)
Nameof
manu
ufacturer

TA
AXDETAILS

SalesTaxxregistration

UnderCSST:________
__________
___________
______________________________________________

UnderVA
AT/LocalSaalesTax(spe
ecifystate):_
______________________________________________

IncomeT
TaxNo.

PANNo.:_________
__________
___________
_______________

Detailsofward/circcle/range:_
___________
______________

Bankingd
details(Last2
2yrs.CAcertiifiedbalancesheet):

A/cNo.:__________
___________
__________
_______________

Turnoverr:_________
__________
___________
_______________

NameofBank:_____
__________
___________
_______________
Pagge|6

Anneexure1

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

GENERALL

AreyouassocciatedwithaanyofourG
Groupcompaany?:Yes/N
No
1. A
Iffyes,pleasegivedetails:
2.
TheapplicantthasmadeffulldisclosurreofalltheiinformationrequiredinthisApplicaation
mationreque
estedof,and
dgivenby,t heapplicanttandcontainedhereiniis
andallinform
trrueandcorrrectineachaandeverypaarticular.
3.
Any
A obligatio
ons undertaaken or expense incurrred by the applicant
n submittingg this
in
applicationand/orincon
ntemplation
noranticipattionbeingaappointedbyythecompanyas
ed JSPL Disstributor sh
hall be unddertaken orr incurred entirely on
n the
an authorize
wnbehalf.
applicantsow
No
N representtation(s) or statements((s) has/ havve been mad
de to be ap
pplicant by o
or on
4.
behalf of the companyy, or by an
ny employeee, servant or agent o
of the comp
pany,
co
oncerningth
heappointm
ment,orposssibleappoinntmentofth
heapplicant asanautho
orized
JSSPLDistributtor.
nauthorized
5.Bysubmittingth
hisapplicatio
on,theapplicantwillnootbecomean
dJSPLDistrib
butor
norwillitplaaceanyobliggationswhattsoeverupoonthecompanytoappo
ointtheappllicant
assanauthorizedJSPLDistributor.

Signature
e:
_____
__________
___________
____

Name:
_____
__________
___________
____

Designation: _____
__________
___________
____

_____
___________
__________
____
Date:

_____
___________
__________
____
Place:

CompanyySeal

Pagge|7

Anne
exure1
Annexu
ure2

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

BA
ANKERS D
DECLERAT
TION

TheBran
nchManagerr
Ref.:AcccountNo.

DearSir//Madam
I / We hold the captioned CC/D
DD/SB/CA/FD
D account inn your bankk and herebyy request yo
ou to
urbusinessw
withourprin
nciple
verifymyy/oursignatureswhicharerequiredinconnecttionwithou
companyy.

Bankersdetails
meoftheba
ank:
Typ
peof
Nam
creditlimit Account Authorised Address&Tel
no.:
signatory:
no.
acco
ount:
(ifany):
(

CanweR
RefertoyourrBanker:Yes_____
_No______

Theabovvesignaturessareverified
dasperourrecordswit houtanyressponsibilityonpartofth
he
Bankoraanyofitsoffficials.
Thankinggyou

For
Yourssin
ncerely

AuthorissedSignature/BranchM
Manager

Pagge|8

Anneexure1

Annexxure 3

Jind
dalCentre,Plo
otNo2,Secto
or32,NearExxit10,Gurgaon122001

SELF DE
ECLARAT
TION

Date:
Place:

M/sJindaalSteel&Po
owerLimited
d
JindalCentre,12,BhikaijiCamaP
Place,
NewDelh
hi110066

DearSir,
I/We, Sole Prop
prietor / Partners / Manaaging Direector of (Firm Name)
________
__________
___________
__________
_______________________________________________
(Mention
nname)___
___________
___________
______________________________________________
(mention
nnameofth
heapplicant),herebyun
ndertaketo informJindaalSteel&P
PowerLimiteedby
wayofaletterinwrriting,atthe
eearliestin caseofocc urrenceofaanyoftheb
belowmentiioned
events:

1.Changeintheconstitutionoftthebusinesss.
2.Changeinthebankaccounts.
3.Changeinauthorissedsignatorries.
4.Changeinlocation
nofregistere
edoffice/faacilities.
5.Impositionofanycivilorcrimiinalliabilityontheorgannizationforme/us.

odeclareth
hatgoingforrward;I/we shallnotunndertakeanyydistributorship/dealeership
I/Wealso
oftheco
ompetingpro
oducts.

Thankinggyou
Yourssin
ncerely

For

Authorise
edSignature
e
Pagge|9