KERALA AGRO MACHINERY CORPORATION LIMITED ATHANI – 683585, ERNAKULAM DISTRICT PHONE: 0484-2474301 (5 lines), Fax: 0484-2474589/2475801. E-mail: marketing@kamcoindia.com, Website: www.kamcoindia.com APPLICATION FOR DEALERSHIP 1.0 Name & Address of the organization 1.1 Name of Contact Person 1.2 Telephone (with STD Code)/ Mobile: 1.3 FAX : 1.4 E-mail Address: 1.5 PAN Card No. 1.6 GST NO 2.0 Class of the Organization (Tick whichever is applicable) 2.1 Address of Showroom: 2.2 Address Of Workshop 2.3 Address of Branches, if any 2.4 Name of the Applicants Bank & Address of the Branch, Branch Code & Current Account Number of Applicant. Proprietary/ Partnership/ Co-Operative/ private Limited/ Public Limited/ Government Sector/ Others 3.0 Area/ Territory/ Region for which dealership is preferred, in order of priority. 3.1 Present Activities of the Applicant’s Experience in Agricultural Machinery 3.2 If Authorized Dealer of any product, details of Dealership (Attach Product Leaflets) Main product/ 3.3 Turnover during last three years (Rs) Brand/Make Area of dealership Year: Quantity sold per Annum (Nos) Year: Annual Sales Turnover(Rs.lacs) Year: Details of Sales and Service Personnel Employed Name 3.4 Qualification Experience 3.5 3.6 4.0 Are you prepared to make one time interest free deposit or bank guarantee for, Initial investment which you are ready to make (Rs.) Please indicate below the approximate population of the following machines in the area preferred by you. Machines (a) Entire State – 25 Lakhs Yes No (b) One or Two Districts – 5 Lakhs Yes No (c) Others – 10 Lakhs Yes No Below 50 Lakhs 50 Lakhs – 1 Crore Above 1 Crore Attach Leaflets of Different Make/ Brand Make/Brand Quantity (Nos) 1.Power Tiller 2.Power Reaper 3. Paddy Weeder 4. Garden Tiller/ Power Weeder 5. Brush Cutter 6.Water Pump Set 7. Micro Weeder / Tiller Please indicate below the potential demand and minimum guaranteed sale of KAMCO products for the next year in the preferred area for dealership Machine KAMCO Power Tiller KAMCO Power Reaper 5.0 KAMCO Paddy Weeder KAMCO Power Weeder / Garden Tiller KAMCO Brush Cutter KAMCO Pump Set KAMCO Micro Weeder / Tiller Potential Demand per Annum (Nos) Guaranteed Sale Per Annum (Nos) Any other information you like to furnish 6.0 7.0 Attach the following documents 1. 2. 3. 4. 5. 6. PAN Card & IT return for last 3 years. GST registration. Class of organisation. Copy of Agreement / Registration Ownership of premises. Statement of accounts for last financial year Proof for dealership of present products. Signature: Name: Designation: Seal: Place: Date: For KAMCO use only Date of receipt of Application Preliminary Assessment Check whether documentary proof are attached Site visited on Recommendations after site visit Final recommendation Dealership Agreement Signed on Signature: Designation: