Private & Confidential

Krishna Industries
Shop no. 35, Near Gouri Shankar Dharamshala, Jaroda Gate,
City - Jagadhri, District – Yamuna Nagar, Pin Code- 135003
Email – delypro19@gmail.com, Phone No:- +91- 9466022081

We are pleased that your Firm is interested in our Distributor in your Area. Krishna Industries is
very closely with our Distributors to assure that we will always have satisfied our whole Seller&
Retailer (SINCE -1979)
Which is the Area you want for Distributorship:- _________________________ Pass Port
Personal Information:- Size Photo
1. Name (Mr./Mrs./Ms.) Date of Birth:__/___/______
Paste Here
2. Father Name:_________________________

3. Address:_________________________________________________________

4. City: District: State:__________________

5. Phone Pin Code:_________________

Business information:-
1. Full Name of Firm:___________________________________________

2. Full Name of Proprietor:______________________________________

3. Address: ____________________________________________________

____________________________________________________________

4. City: ______________________ District: __________________ State: ______________

5. Phone no: Pin Code: _____________

6. Business Email Id. (if any): ______________________

7. GST Number: ______________________

8. How much years of your Business in Working: ______________________

9. Last Year Turnover(P.A): ______________________

10. Existing Agency/Distributorship you already taken(if any): ______________________

11. Name that Company: ______________________

 BANKING INFORMATION:-

1. Account Holder Name: ______________________

2. Current Account Number: ______________________

3. Bank Name: ______________________ IFSC Code: ______________________

4. Full Branch Address: _____________________________________________________

________________________________________________________________________

Declaration:-
I hereby declare that all the above mentioned information given by me is true and correct to
the best of my knowledge and belief.

Proposal Date: Signature of Proprietor & Stamp

 NOTE: KINDLY ATTACH THE FOLLOWING
(PHOTO COPY ONLY)

1. Aadhar Card 1 Copy

2. Pan Card 1 Copy
3. Photo ( Passport Size) 2 Piece
4. Cancel Cheque 2 Piece
5. GST Certificate 1 Copy

Signature of Proprietor & Stamp

 OUR BRAND NEW PRODUCTS RANGE LIST:-

1.Dely Pro Kachi Ghani Mustard Oil

2. Dely Pro Rice Bran Oil

3. Dely Pro Soyabean Oil

4. Dely Pro Cottonseed Oil

5. Dely Pro Sunflower Oil

6. Dely Pro Palmoline Oil

7. Dely Pro Groundnut Oil

8. Dely Pro Sesame (TIL) Oil

9. Dely Pro Coconut Oil

10.Dely Pro Vanaspati Ghee/Oil

11. Dely Pro Desi Ghee (Cow/Buffalo)

12. Dry Milk Pouch

13. Dely Pro Dry Milk Powder

Signature of Proprietor & Stamp