Online Application for Distributorship

Application Details

Self-Attested Documents Required: (i) PAN card (ii) Aadhar card (iv) Bank passbook or Cancelled cheque (vi) Trade License (vii) FSSAI License (viii) Outlet premises owned/rented document (Supported file format jpg, jpeg)

Name of the Person/Agency:

Full Residential Address:

State:

District:

Country:

Pin Code:

Age:

Sex:

Qualification:

Mobile:

Another Number:

Email ID:

Business/Outlet Name & Address:

Business District:

Business Pin:

Ownership of outlet premises:

Owned Rented

Trade License with last date of renewal:

FSSAI License No:

License No. (if any):

Nature of business presently done:

Presently available infrastructure (storage space, delivery vehicle, refrigeration facility, capacity, manpower:

Approximate Value of Product(s) Intake per Month (in Lakhs):

Approximately quantity of Milk Intake per Day

Sundarini Cow Milk: 500 ml bottles (Nos):

Sundarini Cow Milk: 1000 ml bottles (Nos):

Total in Litre:

Bank Details

Name of the Bank (in Full):

Branch:

IFSC Code:

Account No:

Upload Documents

Upload PAN Card: (jpg/jpeg file within 400KB)

Upload Aadhar Card: (jpg/jpeg file within 400KB)

Upload Bank Passbook or Cancelled Cheque: (jpg/jpeg file within 400KB)

Upload Trade License: (jpg/jpeg file within 400KB)

Upload FSSAI License: (jpg/jpeg file within 400KB)

Upload Outlet premises owned/rented Document: (jpg/jpeg file within 400KB)

I/We have read carefully the Terms & Conditions as mentioned in the Form for appointment of Distributorship for sale of ‘Sundarini Naturals’ products and shall abide by them. I/We am/are furnishing the above information in best of my knowledge and information. Hope you will consider my/our case as Distributor after verification.