Distributor Registration

Channel Partner Registration

Please fill out the details below to become a registered partner.

1. Contact Information

Company Name

Type of Business

Year Established

Industry Focus

Primary Contact Person

Designation

Mobile Number

WhatsApp Number

Email Address

Alternate Contact Number

2. Company Information

Website URL

City

State

Country

Registered Business Address

Correspondence Address

Want to Register As

Distributor

Dealer

3. Business Profile

Annual Turnover

No. of Employees

GST Reg. No.

PAN No.

Key Market/Regions Covered

Current Product Categories

Sales & Technical Team Availability

Yes

Existing Brands Represented

4. Proposed Partnership Details

Interested Product Lines

Expected Monthly Sales Volume

Target Market Segment

Existing Clients in this Segment?

Yes

Company ASM

Remarks

5. Document Uploads

Allowed: PDF, JPG, PNG. Max: 2MB.

GST Certificate

Company PAN

Cancelled Cheque

Business Proof

Contact Person Card

Annual Turnover(Last 6 Months)

6. Declaration

I hereby declare that all information provided is true and accurate.

Eyes in Every Corner

Distributor Registration

Channel Partner Registration