Distribution Partner Application

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Contact Details

Name of your Company / Establishment:*
Name of the User:*
Mobile / Whatsapp Number:*
Email Id:*  
If Website Yes, Please Provide:
Postal Address:*  

Statutory & Registration

Company / Establishment Registration Number:
Personal / Business PAN Number:
GSTIN Number:
MSME / UDYOG Aadhaar Number:

Plant & Investment

Investment Capacity for your proposed Venture:
Your Last year Turnover:
Number of your Manpower Available:
Number of your sales Engineer / Executive:
Number of your Commercial Employees:
Total Area of office & Storage in Sq. Ft:

Select your preferred pincodes

Pincode List

Population per Dealer: 200000
You must select 5 Pincodes