Select Division*---Home CareNatural Personal CareNatural FoodNatural Beverage
By the blessing of H.H Param Pujya Swami Ramdev Ji Maharaj and the determination of Patanjali Ayurved Limited., cheap and best quality Swadeshi Product is to be made available to each and every household, I am a well-wisher and supporter of this movement and is committed to get rid of the foreign MNCs loot to make the country self-reliant and economic super power.
Name of Applicant*
Name of the Company/Firm *
Level at which you can become a distributor* ---DistrictTehsilTown
Town(if distributor level is town)
Tehsil (if distributor level is tehsil)
State* ---Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPudicherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal
Do you Have Any experience of FMCG distribution / Wholesale distribution / Other distribution?* Yes No
if Yes, Brief History of the products of the distribution business you have done so far.
Name of the company for whom you have already done the distribution*
Year From To
Year From To
If No, then give detail of your present business.
Last One Year Turnover?(In Rs Lakhs)*
Investment Capacity (In Rs Lakhs)* Lessthan 20 21-50 51-100 Above 100
Area of Warehouse (in sq.ft.)* Less than 5000 5001-10000 10001-25000 Above 25000
No. of Sales Person
No. of Transport Vehicles (Don`t include Two wheelers)
If you accept the above terms and conditions and is ready to give us all the information’s mentioned above then please attach your last year ITR (Income Tax Return) and balance sheets with this application form and send to Email ID. email@example.com.
A. Patanjali Ayurved Limited Reserves the right to reject or accept any application without assigning any reason, however the information given in this form would not used anywhere and would be highly confidential.
B. Are you already engage with patanjali pariwar? Yes NoIf yes then mention the cadre.
Karyakarta Yog Teacher Life Patron Founder Corporate Member, Others
If other please fill
Karyakarta Yoga Teacher Life Parton Founder Corporate Member Other if Other
C. The Person who deals with the trade of Intoxication Business are not eligible to fill the form because our organisation is a Social and Spiritual Organisation
I Agree with Term and Conditions
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