ENQUIRY

Name

Email Address

Company Name

Address

Proprietor/Partner

Mobile Number

City

Pin code

When was your company established?

Name the Products you deal in

The business nature of your company The business nature of your company C&F agent Distributor Consignment agent Wholesaler Auth. Dealer Re-distribution stockist Retailer/Dealer

Area of your operation Area of your operation Local City/Town District State

Your turnover in the current financial year Rs (in Lakhs)

Turnover target for the coming financial year Rs (in Lakhs)

Do you wish to become a business associate of Atma? Do you wish to become a business associate of Atma? Yes No

If yes, in which status would you like to join If yes, in which status would you like to join Consignment Agent Wholeseller Liaison agent Re-Distribution stockiest Dealer

Please mention in which city/district/zone would you like to operate

Your expected monthly turnover from ALSL In Lakhs

Proposed amount of investment in the business with ALSL Proposed amount of investment in the business with ALSL 10-20 Lacs 5 - 10 Lakhs 2.5 - 5 Lakhs 1 - 2 Lakhs

Networking skills Networking skills Fairly good Good Very good Excellentx

Influential skills Influential skills Fairly good Good Very good Excellentx

Business skills Business skills Fairly good Good Very good Excellentx

Expected ROI (Return on Investment) Expected ROI (Return on Investment) 12 - 18 % 18 - 30 % 30 - 48 %

01 Godown Size

02 Salesman Name

03 Goods Vehicle Details

04 Own vehicle

Age

Qualification

Mention three reasons for opting Business Association with ATMA