Distributor Onboarding Form

All fields are mandatory
Please fill out all the required information

Enter Distributor Name *

Distributor name is required (min 3 chars).

Enter Proprietor/Company Name *

Proprietor/Company name is required (min 3 chars).

Enter Mobile No. *

A valid 10-digit mobile number is required.

Alternate Mobile No *

A valid alternate 10-digit mobile number is required.

Enter Full address*

Full address is required (min 8 chars).

Pin Code *

A valid 6-digit pin code is required.

Distributor Appointment Date *

Appointment date is required.

Renewal Date

Current Distributor Business: Name Of Company *

Current business name is required.

Total Turnover P. A. *

Total turnover is required.

No of Manpower *

Please enter a valid number (min 1).

GST No *

GST Number is required.

Mode of Distribution *

Delivery Boy

Own Transportation

Courier

Upload GST Certificate *

GST Certificate is required.

Upload Company Pan Card *

Company PAN is required.

Upload Company Cancelled Cheque *

Cancelled cheque is required.

Upload Company Address Proof (light bill) *

Address proof is required.

Upload Shop Photos *

Shop photos are required.

Upload Proprietor Aadhar Card *

Proprietor's Aadhar is required.

Upload Proprietor Pan Card *

Proprietor's PAN is required.

Upload Proprietor Passport Size Photo *

Proprietor's photo is required.

Upload Agreement *

Agreement file is required.