R.K. DELICACIES PVT. LTD.

Unit 1- 80/3/4, Village Turmuri. Dist, Belgaum-591128, Karnataka ( Tel No: 0831 6535073 ) Unit 2- 118/1, Shinoli Industrial Area, Shinoli, Tal. Chandgad, Dist. Kolhapur -416507,Maharashtra. Tel No: 02320 236300 Fax No: 02320 236778 Email ID- info@rkfoods.in Web Site-www.metropickles.com

Firm Name :

Passport Size Photo

Proprietor / Partner Full Name : Contact Person : Address : Ph. No. With STD Code : Email ID : Off. Fax. No : TIN. No : Mobile No : VAT. No : Godown Ph. No : PAN. No :

Detail Business information of Firm: Annual Turnover: Last 3 Years (in Rs.)

Sl. No Companies Dealing with Year

1

2

3

4

5

Transporters Name : Courier Service :-Name : Contact Person : Contact Person : Ph. No : Ph. No : Mobile No : Mobile No :

SUPER STOCKIEST / STOCKIEST APPLICATION FORM

Date : - _____/_____/________

GENERAL INFORMATION

LOGISTIC INFORMATION

Name of the Bank Account No. I.F.S.C. Code Branch Address

Area Covered : Octroi % if any : Taxation % : Own/Rent shop Area ( Sq. Ft) : Own/Rent Godown Area ( Sq. Ft) :

Coverage Wholesaler Retailers Others

Available Outlet

Covered

Available Routes :

Covered Routes :

Approx Population of Area / Town :

Annual Fairs / Jatra if any :

No. of Staff Salesman Office Staff Delivery Boy No. of Delivery Vans

Name : Ph. No. With STD Code : Address ( Resi ) : Mobile No :

Date of Birth : Date of Marriage Anniversary :

BANK DETAILS

OPERATING AREA

PERSONAL INFORMATION

DETAILS IN CASE OF DISTRIBUTORS / STOCKIEST

Recommended By

S . O A. S. M

Sign & Date Sign & Date

Approved By

Sign & Date

Administrative Manager

NOTE: KINDLY ENCLOSE THE PHOTOCOPIES OF : -

(A) ID Proof + 2 Passport size Photographs, (B) Address Proof (Ration Card/ Electricity Bill / Telephone Bill). (C) Government Statutory License (D) CST /BST / TIN & PAN Card. (E) Security cheque.

FOR OFFICIAL USE

1) Specify the reason to appoint this Super Stockiest / Distributor / stockiest : 2) What factor motivates him to apply for our brand? 3) Reputation in the market : Good / Average / Poor 4) Credit Period offered / given to Distributors & Retailers ( No of days ) : 5) Do you think he will continue our association for long time? YES / NO 6) Service / delivery of goods to Distributors : Regular / As per requirement /Urgent / regular 7) Strength of Super stockiest write in %

Distribution Financial position Market Knowledge Market relation Good Avg Poor Good Avg Poor Good Avg Poor Good Avg Poor

8) Specify week points if any : 9) Will he participate in various schemes operated by company in future? Yes / No 10) Previous payment history to other companies already dealing : Good / Avg / Poor 12) Have you attached NOC from earlier / existing Distributor? YES / NO If NO Please state the reason : 13) Name of the area / Town Handled by Super Stockiest ASM & Sign Name : RSM & Sign Name : Remark : By RSM Remark : NSM / HO

CONFIDENTIAL SUMMERISED REPORT / REMARK: TO BE FILLED BY ASM