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General Sales Agent
Name of the Agent
Name of the key personnel(s)
1.
e-mail address
Mobile #
2.
e-mail address
Mobile #
Existing Business Details
Name of company
Address
City/State
Pin code
Telephone no.
Fax number
Business Email address
Website (if any)
Area of office space (sq. ft.)
Number of Computers
Internet Connection
Printer
Number of staff (Male)
Number of staff (Female)
Nature of business
Partnership/Proprietary
Business establishment year
Is the applicant agreeable to all
terms & conditions
of Kesari?
Yes
No
Know-how/knowledge of international market
Yes
No
If appointed as a PSA for Kesari, how will I promote Kesari brand in my region.( max. 200 words)
FOR OFFICE USE ONLY
Name of the person filling form
Company seal & Signature
Designation
Date
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