PARTY CREATION FORM

J.J. AUTOMOTIVE LTD.

Branch Name:

NAME OF THE SHOP*
NATURE OF SHOP (PROP/PARTNER/PVT LTD.)
ADDRESS OF THE SHOP*
PIN CODE*
TELEPHONE NO.*
NAME OF THE DEALER
RESIDENTIAL ADDRESS
PIN CODE*
MOBILE NO.
LAND NO.
BANK NAME
BANK ACCOUNT NO
IS IT ANOTHER SHOP OF OUR EXISTING DEALER
FOR WHICH SEGMENT THE DEALER IS INTEREST
PRESENTLY DEALING THE ITEMS
REFERENCE OF THE DEALER FROM MARKET
CREDIT LIMIT RECOMMENDATION
MAXIMUM CREDIT LIMIT
VAT NO.
CST NO.
OWNER'S FATHER NAME
E-MAIL ADDRESS*
SALESMAN NAME (for Office Use)
Credit Limit (for Office Use)
Credit Days (for Office Use)