LOOKING FOR EMERGING BUSINESS PARTNERS ACROSS THE NATION

Becoming the benchmark integrated branded home product business for India’s fast moving consumer goods. Fully exploiting global category opportunities for all age group of people.Creating a simple focused operating model, empowering our people and matching resource and capability to the opportunities and being a trusted and respected member of the communities in which we operate.

Distributor Application Form

Name of the Agency (required)

Address of the Agency

Tin No.(required)

CST No.(required)

Address for Communication

Email ID (required)

Bank Account (required)

Branch (required)

Proprietor/Partnership
 Proprietor Partnership


Proprietor/Details

Name

Date of Birth (dd/mm/yyyy)

Pan No.

Martial Status
 Single Married

Spouse Details

Contact No. (required)

Email ID


Coverage Area

No. of Outlet Covered

No. of Sales Man

No. of Vehicles

Billing Status
 Manual System

Preferred Transport

Preferred Area for Coverage