Pre-Qualification Form for E&E Dealers


Name of Firm*:
Type of Firm*: Proprietary LLP Partnership Firm Private Limited
City*: State*:
Year of Establishment*: Brand Name*:
No of Enterprises*:
Tick the Appropriate*: Own shop Rented shop
Business Performance in: 2022-2023 2023-2024
Turnover in Financial year*:
Revenue from E&E products in Financial year*:
Approximate S-o-B for E&E products in Financial year*:
Existing E&E brands association:
Brand Name Kind of Products
+
Sales Team Size*: No of extended counters*:
Location of extended counters (Can Select Multiple):
Name of Customers (OE) you are dealing with:
Company Name Product
+
Any Dealing with Gilard previously*:
Perception about Gilard Brand:
Reason to be associated with Gilard:
Expected Scope of Business (Annually)*:
Contact Details:
Office Contact No (with STD code ):*: Email*:
Upload Business Card: Upload Catalogue / Brochure (only pdf):

(Please avoid any spaces in the name of the file)
(Please avoid any spaces in the name of the file)
Undertaking: I undertake that all details provided by me are true to the best of my knowledge.
Name of Applicant*: Designation*:
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