APPLICATION FOR DISTRIBUTOR APPLICATION FORM FOR THE APPOINTMENT OF PACKAGED MINERAL WATER DISTRIBUTOR Please enable JavaScript in your browser to complete this form.Name of the Party *Nature of Business *ProprietorshipPartnershipCompanyName of the Proprietor/Partner/Director *Mobile No. *Address of Business *PIN Code *Email *Address of warehouse: (If Separate from office)Whether related to any one in PRAAYOG ASSOCIATE PVT.LTDYESNOGST/CST NO. *Upload GST/CSTNO (PDF ONLY) * Click or drag a file to this area to upload. Upload FSSAI Certificate (PDF ONLY) * Click or drag a file to this area to upload. Upload PAN (PDF ONLY) * Click or drag a file to this area to upload. Year of establishmentProposed Coverage area (City, Town , Block (max 2) ): *Upload Annual Turnover (Attach 3 yrs CA certified copy) PDF only * Click or drag a file to this area to upload. Name of Banker with Address *Bank A/C No *Name of Authorized Signatory *No. of existing retailers serviced by you and area of current operation for various companies associated with you *Details of Person/Employee who will be assigned for PRAAYOG ASSOCIATE PVT.LTD transactions *Companies Presently Associated with as Channel Partner with area of operation and turnover *Submit
