Select Your Business Type

Distributor Entity Name

Constitution of the entity

Address

City / Town

State

Pincode

Location (G+ Code)

GST No.

PAN No.

FSSAI No.

Owner(s) Name (Separate different names by comma)

Mobile Number of owner (preferably Whatsapp)

Alternate Mobile Number

Email ID

Associated Brands (Current Companies)

What describes your Coverage Area best?

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Started Year

Coverage Area Description (Name of Localities / Cities / Towns / Districts / States)

Customer Base (number of customers served)

Godown Area (sq.ft.)

Number of employees

Number of vehicles owned

Type of vehicles owned (Tata Ace, Mahindra Bolero etc.)

Monthly Average Turnover

ERP (Billing Software) in use

Distributor Association(s) Name you are enrolled with (if any). Type NO if not associated with any association

Channels of Operation

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Types of Operation

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Business Operations

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Password