APPLICATION FORM TO BECAME DISTRIBUTOR OF PATANJALI AYURVED LIMITED

FOOD UNIT COSMETIC UNIT

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 the Applicant :___________________________________________________________________________
Name of the Company/Firm :__________________________________________________________________________
Address :_____________________________________________________________________________________
Email :________________________________________________Phone No.
1. Level at which you can become a distributor
A. District Level District ________________________State_______________________________
B. Tehsil Level Tehsil _________________District __________________State_______________
C. Mandi Level Mandi______________Tehsil _____________District __________State________

2. Do you Have Any experience of FMCG distribution / Wholesale distribution / Other distribution?
Yes No
Brief History of the products of the distribution business you have done so far :
_____________________________________________________________________________________
_____________________________________________________________________________________
If not then give detail of your present business :
_____________________________________________________________________________________
_____________________________________________________________________________________

3. Name of the company for whom you have already done the distribution
Name of the company Duration
1._____________________________________________Year_______________To___________________
2._____________________________________________Year_______________To___________________
3._____________________________________________Year_______________To___________________
4. Last One Year Turnover :_________________________________________
5. Inverstment Capacity : ___________________________________________
6. If you accept the above terms and conditions and is ready to give us all the informations metioned above then
please attach your last year ITR (Income Tax Return) and balance sheets with this application form and
send to Email ID. abhuydaivibhag@patanjaliayurved.org.
Note :
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 hightly confidential.
B. Are you alredy engage with patanjali pariwar? Yes No If yes then mention the cadre.
(Karyakarta/Yog Teacher/Life /Patron/Founder/Corporate Member, Others____________________________
C. The Person who deals with the trade of Schnapps Business are not eligible to fill the form because our
organisation is a Social and Spirtual Organisation.

Date:______________ SIGNATURE OF APPLICANT