Distributors Application

Contact Number

Registered Address

Owned Rented

Office Address

Same as above Other

Type of Establishment

Public Limited Private Ltd Partnership Proprietorship OPC

MSME

Yes No

Current area of operation

Main Association

Branches (if any)

+ Add Field

Sister Concerns (if any)

+ Add Field

Interested in distribution for

Milton Treo Melamine Spotzero Claro

Warehouse Details

Owned Rented

Delivery Vehicle

Yes No

Are you known to any of the Directors, Employees, Existing Distributors or Stockists?

Yes No

Has the organisation or any of its members ever been convicted or declared insolvent?

Yes No

I/We hereby confirm that the information provided herein is accurate, correct and complete and that the documents submitted along with this application form are genuine.

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Distributors Application

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