Distributor / Agency Name :
1. Authorized Person's Name :
2. Address :
3. Telephone No. / Mobile No. :
Office Mobile:
4. Email :
5. Sales Tax No.(G.S.T) :
6. PAN No. :
7. Aadhar Card No. :
8. How Long In Distributor Business :
9. Present Associated With :
Sr. No.
Company Name
Duration
Product
Yearly Turnover
10. Banker's Details :
11. Approximate Number Of Staff Of Your Own :
12. Total No. Retail & Wholesale Outlets Covered :
13. Daily Average Secondary Value :
14. Beats Name :
15. Distributor's Booking Amount :
Invoice Amount : ₹ 40000₹ 70000₹ 110000₹ 210000₹ 300000₹ 600000₹ 1200000
Security :
Note: You can send Your document to +91 9836892283 (Whatsapp)
16. Upload Your Voter Id :
17. Upload Your Aadhar Card :
18. Upload Your PAN Card :
19. Upload Your Signature :
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