SUPER STOCKIST / DISTRIBUTOR APPLICATION FORM

Are you already a distributor? *

Yes No

1. Applicant Details

Name of Distributor / Firm / Company *

Constitution *

Year of Establishment *

Authorized Contact Person *

Designation *

Mobile *

Email *

Registered Office Address *

Communication Address *

2. Business & Operational Details

State Proposed *

Existing Distribution Network *

District *

Number of Sales Personnel

Warehousing Facility *

If Yes, specify details

3. Experience Details

Nature of Products

Years of Experience *

Brands Handled

Annual Turnover

4. Financial & Compliance

GST Number *

PAN Number *

5. Market Reach & Channel Presence

Presence in Modern Trade *

Presence in General Trade *

Institutional / Hospital / Gym / Sports Channel Experience

Key Accounts Handled *

6. Supporting Documents

GST Copy *

PAN Copy *

Audited Financial Statements *