Dealer Onboarding Form
Submit complete dealer onboarding details and supporting documents.
Application Number
Created At
Salesperson Name
Salesperson Email
Dealer Information
Name of Channel Partner
Year of Establishment
Contact Person
Phone Number
Email
PAN Number
GST Number
Address Details
Billing Address
Dispatch Address
Dispatch address same as billing address
Shop Details
Shop Location
Shop Size (sqft)
Ownership
-- Select --
Own
Rented
Business Constitution
Person 1 Name
Relationship
Age
DOB
Person 2 Name
Relationship
Age
DOB
Person 3 Name
Relationship
Age
DOB
Banker's Information
Name of Bank
Branch
IFSC Code
Account No.
CC Limit (Rs./Lacs)
Documents
Passport Size Photo
Signed Blank Cheque Photo
PAN Card Photo
GST Certificate with Address
LR Receipt
Pls attach LR receipt of the following docs being sent to the Malhotra Distributors Pvt Ltd. - Passport Size photo, 2 Blank, Signed, undated cheque for security.
Submit Application