We are open to opportunities on distribution possiblities of our products .If you are a distribution interested in specified teritory.Please do submit the duly filled form as under.

Please fill the form completely for a quick decision.

Company name:*
Name of contact person:*
Complete office address:*
Mobile:*
Office telephone:*
Email:*
Type of company:	Select Public ltd. Private ltd Partnership firm Sole proprietor Others
When founded (Mention Year):*
Years of experience:*
List / Specify your Strengths :*
Turnover for last 3 years*         2013 - 2014         2012 - 2013         2011 - 2012
Name of your top 5 prime customers :*
Storage facilities/Cold Room/No. of Refrigerators:*
Drug License Number:*
Central Sales Tax Number:*
Local Sales Tax Number:*
TIN #:*
PAN #:*
Comments/Remarks :*