Distributor Registration

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Full Name

Name of the Party

Business Nature

Name of the Proprietor

Proprietor's Mobile Number

Address of Business (Pin code is must)

Availability of Computer

Number of Shops Covered

Number of Cities Covered

Number of States Covered

Email

Address of warehouse (If Separate from office)

Whether office or Warehouse is leased/owned

Infrastructure Details

GST No.

Udyog Aadhar

Pancard No.

Annual Turnover (In Lacs)

Name of Banker with Address

No. of Field Personnel Employed

Total No. of Parties/Retailers

Distribution Facilities