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DEALER REGISTRATION FORM

DETAILS OF THE ORGANIZATION

TYPE OF ORGANIZATION (PROPRIETORSHIP/PARTNERSHIP/LTD. CO.)

NAME & ADDRESS OF PROPRIETOR / PARTNERS / DIRECTORS

PRESENT BUSINESS

PAST EXPERIENCE IN ULTRALYTE

PERCENTAGE OF YOUR MONTHLY SALES THROUGH WHOLESALE/ RETAIL

TRANSPORT/ LOGISTICS

STORAGE FACILITIES

MARKET INFORMATION

DETAILS OF YOUR BANKERS

GST REGISTRATION NO. IF ANY

INCOME TAX PAN NO. IF ANY

KYC DOCUMENTS

DETAILS ABOUT YOUR FAMILY