Become a Distributor Distribute our authentic sweets and snacks with a brand built on tradition and trust. Applicant Information First Name Last Name GST Number FSSAI Number Pan Number Firm Type Proprietorship Partnership Pvt. Ltd. Other Contact Details Address of Business City State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Pin Code Mobile Number Alternate Number Email ID Business Details Current Nature of Business Experience in Food/FMCG Distribution Less than 1 Year 1-5 Years 5-10 Years 10+ years Area of Operation / Coverage Existing Brands Handled (if any) No. of Salespersons / Delivery Staff Shop under your area Financial & Logistic Capacity Average Monthly Turnover Mode of Transportation Used: Own Vehicle Third Party Both Preferences & Commitments Preferred Products for Distribution Sweets Namkeen Both Documents Required (Attach Copies) Choose Document Type PAN Card GST Certificate FSSAI License (if applicable) Cancelled Cheque Address Proof Passport-size Photo Upload Documents Declaration I hereby declare that all the information provided above is true to the best of my knowledge. I agree to abide by the terms and policies of Gangdhar Mithaiwale if selected as a distributor. Full Nmae Date Send