All interested in Pipul TV dealership should send an email to Demonstrations/seminars will run from Feb 24-April 7, 2018 nationwide
Please, note that all information supplied in this application is regarded as highly confidential but we reserve the right to discreetly investigate the claims therein. Submitting this form does not guarantee approval as a Super Dealer. Final decision will be communicated to you within two (2) weeks after completed submission.
Personal Details (Please complete in BLOCK LETTERS and tick where necessary)
Date of Birth
Surname / Family Name
First Name / Given Name
Middle Name / Other Name
Contact Address
Phone Number
Personal Email Address
2. Company Details - where available (Please complete in BLOCK LETTERS and tick where necessary)
Company/Business Name
CAC Certificate of Incorporation/Registration Number
Corporate Tax Identification Number (TIN)
Operating Business Address
Official Phone Number
Official Email Address
Bank Verification Number
Existing TV Service Provider or Communications Network
Any other dealerships with existing TV Services/Communication Network? (Please Pick)
Dealership Commencement Date
3. Financial Details
Primary Bankers
Account Name
Account Number
Monthly Turnover
Quarterly Turnover
Annual Turnover