Madhya Pradesh Dealer Registration

    Dealer Details

    Name of Dealer

    Name of Contact Person

    Dealer Communication Address

    Address

    Village

    Postal Code

    Distt./City

    State

    Phone Details

    Phone

    Fax (if any)

    Particulars of the Firm

    a) Status of the Firm

    b) Name and Address of Proprietor/Partners/Directors/Karta

    Name and Residential Address

    Father's/Husband's Name

    Contact Number

    Name and Residential Address

    Father's/Husband's Name

    Contact Number

    Name and Residential Address

    Father's/Husband's Name

    Contact Number

    c) Year of Establishment

    d) PAN Number

    e) Annual Turnover

    f) GST Number

    g) Registered Date

    h) Registered Number

    Family Profile

    a) Blood Relation

    Name

    Relation with Owner

    Occupation

    DOB

    Marriage Anniversary

    Name

    Relation with Owner

    Occupation

    DOB

    Marriage Anniversary

    Name

    Relation with Owner

    Occupation

    DOB

    Marriage Anniversary

    b) Other Than Blood Relation

    Name

    Relation with Owner

    Occupation

    DOB

    Marriage Anniversary

    Name

    Relation with Owner

    Occupation

    DOB

    Marriage Anniversary

    Bank Details

    Bank Name and Address

    Account Type

    Bank Account Number

    Name of Account Head

    IFSC Code

    OD Limit (if any)

    Investment in Cement Business

    Proposed Investment in KJS Cement (l) Ltd.

    Branch(es)/Associated Concern(s) if any

    Name and Address

    Type of Business

    Office Area (Sq. Ft)

    Experience (Years)

    Annual Turnover (Rs.)

    Experience In Cement

    a) Name of Brand and Quantity Per Month

    Name of Brand

    Dealer/Retailer Name

    Quantity Per Month

    Expected Quantity Per Month for KJS (I) Ltd.

    Security Deposit Details

    Cheque/D.D/UTR No.

    Date of Deposit

    Bank Name

    Deposit Amount

    Any Other Information

    Any Other Information You Wish To Provide

    Email Us
    info@kjscement.com

    Call Us Toll Free
    1800-120-2660

    KJS Cement address:
    Rajnagar, Rewa Road, Maihar, Dist.- Satna, M.P. 485771

    Get In Touch