SATYANARAYAN FLOUR INDUSTRIES

CHANDUR, TARAKESWAR, HOOGLY, 712410(W.B.)

GSTIN: 19AIIPG6145Q1ZM

PHONE: 03212277431

EMAIL: info@srfmgroup.com / satya.flour@gmail.com

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Distributor Declaration Form(2020-21)

[USE BLOCK / CAPITAL LETTER TO FILL THIS FORM]

PROPRIETOR/PARTNER NAME:

TRADE NAME OF BUSINESS/ DISTRIBUTORSHIP NAME:

PRESENT ADDRESS:

PERMANENT ADDRESS:

CONTACT NO: (MOBILE/ LAND LINE)

NOTE.: PLEASE ENCLOSE PHOTOCOPY OF THE BELOW MENTIONED DOCUMENTS WITH SEAL & SIGNATURE

1. TRADE LICENSE NO: (CURRENT LICENSE NO.2020-21)

2. GST NUMBER:

3. PAN NUMBER:

4. AADHAR NO.: (INCASE OF PARTNERSHIP/PVT. LTD. FIRM, MENTION ANY TWO)

5. BANK ACCOUNT NO.: (WITH IFSC AND BRANCH)

6. FOOD LICENSE NO.: (CURRENT LICENSE NO. 2019-20)

7. DISTRIBUTORSHIP WITH US IN ANY OTHER NAME (MUST BE DISCLOSED):

NAME:

RELATIONSHIP:

(DISTRIBUTOR SIGNATURE WITH SEAL)

N.B.:

I. If any information of the above said found to be false/incorrect then the Management reserves the right to take any decision in the matter.

II. This declaration form should be submitted along with the photocopy documents within 30.11.2020. positively to Area Sales Manager.

III. If not submitted within 30.11.2020, subsequently the Management reserves the right to drop/reduce all discount facilities and activities from 1st December 2020 as per discretion of the Management Committee.

the company

Products

Potato

Whole Wheat Flour

Satyanarayan Group

SATYANARAYAN ROLLER FLOUR MILL PVT.LTD
Chandur, Tarakeswar, Hooghly, 712410(W.B.),
India

+03212277431

satya.flour@gmail.com