Distributor Registration Form
Name :    Age :  
Language :    NIC No. / Driving / Riding Licence :  
Current Occupation :    Place of Work :  
Distributor for which cities/towns :   District :  
Proposed Business Location : :   
Is the Store on a main road :     Yes No Size of store front :   sq.ft. Total Store size :   sq.ft.
Tel. / Office. :    Mobile: :
Work Experience
Place of Work No. of years Designation / Category
If you already run a shop / showroom of your own for electronics related products:
Type of trained Staff No of staff No of year active Skill Level / Education
Sales & Front Office      
Installation Technicians      
Repair Technicians      
Finance & Collection      
Delivery / Transport      
Stores Space availble / Stock holding capability    Yes No
Remarks (any other information which is releted to DTH & Dish TV)