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The Diet Hub | Stockist Application
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CHANNEL PARTNER
Near By Doctors
Products | Buy Online
Home
About Us
Ayurveda
Blog
Contact Us
CHANNEL PARTNER
Near By Doctors
Products | Buy Online
Stockist Application
Name of the Firm
*
full name
0
Full address of the Firm
*
1
Landline
*
2
Cell Phone
*
3
Fax
*
4
Email
*
a valid email address
5
Name of Competent Person & Designation
*
6
Constitution of the Firm
*
to order
Proprietary
Partnership
7
Drug Licenses No.
*
8
GST No
*
9
PAN Details
*
10
Area/District Covered
*
11
Experience Of Stockistship in Years
*
12
Name and address of the Bank
*
13
Name of the Companies Presently Dealing with and Turnover Per Annum
14
1
*
15
2
*
16
3
*
17
4
*
18
Preferred Transporter
*
19
Number Of Field Staffs
*
20
I/We declare that the above given information are true and correct. I/We also agree to abide by your
terms and conditions
.
21
Submit
22
We are looking for DSAs all over India (except Kerala,Gujarat and Chatisgrah) .Interested parties may contact 9846505044.