APPLICATION FORM FOR HALDIRAM’S COMPANY

This Application form is for Distributorship in India only. This Application Form is not an offer document or contract.

INSTRUCTIONS

The Applicant is advised to carefully read the entire form.

1. The Application must be made by:

* An existing entity proposing to operate the distributorship (Applicant), or
* If a new entity is proposed to be set up to operate the distributorship, the application should be made by an existing
Entity (Applicant) which shall provide all or most of the funding for the new entity.
2. This Application Form has 4 sections. All Sections must Filled by the Applicant.
3. All financial statements provided the Application Form must be Audited statements, complete with all schedules and the
auditor’s report.
4. The Filled in Application form along with enclosures should be emailed to info@haldiramdeal.com and the signed soft copy
need to be sent to the above mentioned email id.
5. Incomplete application Forms will not be accepted for processing.
6. On receipt, if the application is complete, the Applicant will receive an administrative acknowledgement from Haldiram.
Applicant to quote the number in all future correspondence.
7. The information provided by the Applicant is intended only for the company’s use.
8. By sending the filled Application Form, The Applicant is inviting Haldiram to consider its Application for distributorship.
The company does not assure the Applicant of being selected for such dealership.
9. Should Haldiram limited find the Application of interest, the Applicant may be invited for discussions and additional
disclosures, including due-diligences.

For further information please refer to the contact details in the advertisement.
 SECTION-A
Application Details (Financial and Ownership Information)

Location where distributorship is sought: City / State

Name of Applicant: Mr. / Ms. / M/S:

Applicant Structure: Company Partnership firm Proprietorship

Contact Person Designation

Address of Applicant (Pin-Code must be given)

City: Pin Code: State:

Telephone (indicate STD code) Mobile

Email Fax

Entity proposed for operating the Haldiram’s Distributorship.

Existing Company Firm New Entity

If the Applicant is setting up a new Entity, please indicate the type of Entity proposed for the Haldiram’s Franchise

Individual/Proprietorship

Partnership

Pvt. Limited
1. Information about Directors/Partners/Proprietors who would be involved in the Haldiram distributorship.

Name Relationship with Age Qualification Present occupation Proposed holding in

applicant distributorship (Rs
and %)

2. Provide briefs details of the professional experience of each Director/partner/proprietor mentioned above.

Pleas indicate the number of years for which the Director/Partner/Proprietor has handled each responsibility. Indicate any
relevant experience in the Retail industry.

Name of Director Firm Name No. of Years Position Held Experience Details
 3. Current Business Activities of Applicant.

Please indicates all the current business activities of the Directors/Partners/Proprietors and its subsidiaries. Also indicate if the
Directors/Partners/Proprietors are associated directly/indirectly with any Retail franchise.

Name of the Firm Business activity and the name of the key Annual turnover (Rs. Lakhs)
manager

4. A) Provide the audited financial statements for the last financial year of the Applicant.

The Applicant must submit audited financial statements, even if the proposed distributorship will be through a new entity to be
formed.

For A Proprietorship, please submit financial statement of your businesses certified by your accountant. Kindly indicate the
income Tax paid in the past 3 assessment years below and enclose copies of the Income Tax for these 3 years.

Name of Applicant (proprietorship) Income tax paid in the last 3 assessment years

1st 2nd 3rd

4 B) Provide the following company documentation.

For proprietorship firm – PAN

For Partnership firm – PAN+ copy of registration of partnership certificate + copy of partnership deed/agreement

For Limited/Pvt. Company - Company PAN +certificate of incorporation+ CIN + Article of association or Memorandum of
Association
 SECTION-B
Business Plan for the proposed distributorship

1. Product sale plan

Please give your estimate (over three years) of the number of Haldiram products you would be able to sell in the city (inclusive of
the district in which the city is located) for which you have applied to set up a distributorship. In an Enclosure, please outline your
reasoning and plan for achieving the product sales indicated.

Category Year 1 Year 2 Year 3

Product sale plan

(In Rs.)

2. Expenses for the Distributorship.

Please summarize your Assessment of the projected expenses of the distributorship for the first year of operations.

Figures in Rs. Thousands

Interest cost on fixed Asset Investments

Interest cost on Working capital

Rentals

Marketing Expenses (including service marketing)

Salary/wages and incentive

Others Expenses (Electricity/Water/Municipal tax etc.)

Total Expenses
3. Distributorship Plan of Operation

Please summarize the staffing plan of your proposed distributorship. In an Enclosure, please provide the details of organization
structure, staffing and facilities proposed.

Department Number of Persons Average Cost per person (in Rs)

Sales

Service

Accounts & Administration

Allied activities (security and

housekeeping)
TOTAL PERSONS

4. Key Distributorship Personnel

Please list the key distributorship personnel in your proposed organization and if you have already identified someone external to
your organization for recruitment, kindly provide details of the same

Designation Qualification Name (if available) Where is the person currently

working
Head of sales

Chief Accountant

Head of service
If you have indicated an integrated facility above, please mark your answer only in the distributorship section below. If you proposed
to have separate restaurant and Distributorship, Please indicate your answer separately for each. We request you to answer in
accordance with the instruction provided;

Questions Answer Restaurant Distributorship

Is land available? Yes/no

If available, what is the size of the Given size in square fit

plot(square ft)
If available, is the plot owned or leased Owned/leased

If the plot is owned, is it encumbered Free/encumbered

If land is not available, do you have a Yes/no

proposed site
How much time will it take to get the Given time in days
site for your purpose
Is there an existing constructed facility Yes/no
suitable for dealership operations
If you propose an existing facility is not Owned/leased
owned or leased by you, what is the
time frame for getting the same
If you propose an existing facility, what Given time in days
is the floor area available
If you propose an existing facility, what Given size in square fit
is the floor area available
If no constructed facility is proposed, Given time in days
how much time will it take you to
construct facility
Provide the Address of the proposed site:

Site Area:

SECTION-C
Applicant’s personal details

This must be filled by the managing partner/managing Director/proprietor, and all partners/Directors having more than 20%
ownership stake in the Applicant company/firm.

Full Name

Business Address (pin code must be given)

City Pin code State

Residential Address (pin code must be given)

City Pin code State

Phone/electronic contact

Please provide the STD codes and circle the number at which you prefer to be contacted

Home Business

Mobile Email

Following compulsory identity documents need to submit:

1. Aadhar no. or Passport no.

2. PAN card copy

3. Cancelled cheque
1. Personal data

Date of birth Annual Emoluments Do you have any Hometown/Permanent

drawn from the medical ailment that may Residence, if different
Applicant company/firm prevent you discharging from residential address
your duties indicated earlier.

2. Educational qualifications & professional Training

Course Date completed Company/institute, City Country

3. Family

Spouse’s Name Spouse’s Education Name of children Age of Children

4. If Any family members work in the Applicant company/firm, kindly provide details below

Name Qualification Role Annual Emoluments

5. Business/Employment history

Business name/company Type of business Period from to Position Held

employed at

6. Briefly describe your major achievement/success story.

7. Will you personally manage the distributorship operations? If not why?

 SECTION-D
Checklist and Declaration
Please place a tick mark against each item to ensure completeness of the application.
1. Audited financial statements for the last 3 year of Applicant have been provided. For Proprietorship the income Tax have
been provided in addition to the Accountant’s certified financial statement.
2. Details of company documents in which directors /partners /proprietor have controlling interest are provided.
3. Letter from the Applicant’s Banker(s) indicating current facilities provided to the applicant.
4. Vehicle sale van.
5. Distributorship plan of operation (details of structure, staffing and facilities proposed)
6. Photographs of the proposed site with map indicating location of sites in the city

DECLARATION
I/we the Applicant confirm the personal data provided is correct and authorize Haldiram’s Food (and its official) to scrutinize and
validate this data including my credit rating.

I/we the Applicant have read and understood the entire Application form and have fully filled in section-A, section-B, section-C and
section-D.

I/we fully understand that in case any information provided above is found to be false/ incorrect, Haldiram’s Food reserves the right
to reject the applicant or reserve any decision taken based on this information.

Signature of Applicant: Date:

Name: Place:

Designation

ACKNOWLEGEMENT COPY
Name of Applicant:

Address of the Applicant:

 REQUIRE DOCUMENTS ATTACH WITH FORM

1. Pan card
2. Aadhar card
3. Cancelled cheque
4. Voter id card/Driving license/Passport
5. GST certificate/incorporation certificate

All documents should be in separate PDF format.

 Terms and condition

1. Any expiry Haldiram product return/exchange within 7 days of expiry.

2. Damaged packaging material will not refundable.
3. Shop area requirement for distributorship required minimum 500 sq. feet.
4. Separate stockyard should be available with well furnished
5. Product should never be sold more than MRP price in your area.
6. Product margin for distributor packaging material 30%
7. Product margin for distributor unpackaging Material 35%
8. Separate margin for retail outlet is 5%
9. Company will provide marketing material like poster, banner and dangler etc.
10. Company will provide training to director/partner/accountant/sales team.
11. Company will support you to increase your sales like our Area sales manager will always help for sales. You will discuss
about your weekly, monthly and yearly agenda.
12. Insurance will be provided for 100% product.
13. Company will provide a billing and management software for account and stock management.
14. Company will support freezer, interior and many required equipment, for these equipment distributor have to pay 50% of
billing. 50% Amount Company will provide.
15. All products will send to your doorstep by company.
16. Distributor must have a vehicle for distributing product rented, leasing or owned.
17. Company will not provide you any utility bill, rent, staff salary and any more.
18. Company will take always 50% advance payment of your order.
19. Company charge security and Agreement Amount will be refundable. Agreement has to renew after every financial year.
20. Security and Agreement amount will be refundable after 6 months.
21. All procedure during the Distributorship process is going on online.
22. After verification and Approval of application, Distributor has to pay registration form INR25000, Security deposit fee
INR100000, Agreement Fee INR50000 and Interior Designing fee INR25000.
23. Company will provide you 3 staff for 2-3 months for learning your business and securing your business.
24. All payments will be accepted through NEFT/RTGS only.
25. You have to order product value minimum INR800000.
26. You will get details about your Distributorship area in Agreement paper.
27. Filling Application form doesn’t mean you will get Distributorship. After Approval of Application Form Company’
executive will call and message you.

For any queries

Contact us
Haldiram Network Team
Contact no. +919874640230
Email id. info@haldiramdeal.com