Tata Sky Ltd.
DSA/CEISP APPOINTMENT FORM
PHOTOGRAPH
Firm / Company Name:
Year of Establishment :
Address :-
Office
City:Dist: State: Pin Code:
Tel Nos: Fax No. Email:
Warehouse (should be outside Octroi limits, if applicable) Total Area:
City: Dist: State: Pin Code:
Tel No. Fax No. Manager Name: Mobile:
Residence (of the managing partner/director for Tata Sky business)
City: Dist: State: Pin Code:
Tel No. Mobile Nos: Email:
Business Constitution: Proprietorship / Partnership / Company (tick)
Owners/Partners/ Relationship Age Date of Date of
Directors (years) Birth Marriage
Tax Nos: PAN: CST: ; LST/TIN:
Service Tax:
Tata Sky Ltd.
Banker’s Information:
Name of Bank, Branch Account No. CC Limit (Rs./Lacs)
1
2
Premises:
Number Size (sq.ft) Owned/Rented Value (Rs./Lacs)
Shop
Godown
Service
In case of rented premises, please mention the deposit amount
Tata Sky - BUSINESS EXPECTATIONS:
Territory to be covered: ____________________________________________________
Expected Turnover: Rs. ; PA Expected Investment:(Start up)
th
. By 4 Qtr
Whether Finance Available? Yes/ ; Existing/New Sources (tick)
Expected Network and Resources:
1.
Category Exclusivity:
CURRENT BUSINESS
Brand Market Area Covered Since
Tata Sky Ltd.
Business Turnover in last year: Rs.
Average Value of Stocks: Rs.
Average Market Outstanding: Rs.
Details of Sister Concerns (Name of firm, Brands distribution, Territory)
1.
Delivery Vehicles Own ______, Rented _________
4-W ________, 3-W ________
Sales Manpower Frontline _____, Supervisory __ ___, Managerial
Firm/ Company’s Financial Position (As on ____)
Liabilities Rs. Lacs Assets Rs. Lacs
Share Capital
Reserves & Surplus
Loans
Creditors
Advance from Customers
Others Properties: _________________________________________________________
________________________________________________________________________
Any Others Information: ___________________________________________________
________________________________________________________________________
I understand that appointment is subject to signing of Distributor agreement. I certify that
information provided in this form is accurate.
Stamp
Signature –
Proprietor/Director/Partner
Name
Recommended by Approved By
____________________ _____________________
Signature (Sales Manager) Signature (Branch Manager)
Tata Sky Ltd.
Name: Name:
Date: Date:
To be filled by Regional Office: -
This proposal is accepted and M/s ____________________________________________
is appointed as Direct DSA for Tata Sky DTH Services, with effect from
_____________ subject to the terms and conditions mention in DSA agreement.
____________________ ___________________
Signature (Branch Manager) Signature (Regional Manager)
Name: Name:
Date: Date:
To be filled by Sales Administration Department
Master Code of Direct DSA: […………………………]
Date of Appointment: […………………………]
__________________
Signature (Sales Administration Executive)
Name:
Date:
Tata Sky Ltd.
Territory Coverage for Tata Sky Business
District Town CE Dealer Mobile Target Target
Universe Dealer CE Dealer Mobile
Universe Dealer