Apply Now at One24

Contact Details

Name of Organisation / Company^*

Website

First Name^*

Last Name^*

Email Id^*

Mobile No^*

Telephone No^*

State/ Union territory^*

City^*

Company Address^*

Pin Code^*

Contact Details

Category^*

Goods/Services Being Offered^*

Pan Card No^*

GST No^*

GST Registration Type^*

Period in Distributorship / Manufacturing /Import^*

Area Covered^*

Annual Turnover^*

NMMC Cess No (If Any)

Name of Current Retailer who you are supplying & Turnover^* :

Retailer Name 1^*

Turn Over 1^*

Retailer Name 2

Turn Over 2

Retailer Name 3

Turn Over 3