DISTRIBUTOR ONBOARDING

Apply for Authorized Dealership

Partner directly with Nightingale Agro Industries Private Limited. Complete your commercial credentials below to initiate territory verification and dealer code allocation.

Dealership & Distribution Application

Please enter your personal, business, and storage infrastructure details. All documents are stored securely.

👤 1. Applicant Personal Information

Applicant Full Name *

Mobile / WhatsApp Number *

Email Address *

🏢 2. Business & Tax Registration

Firm / Business Name *

Business Constitution / Type *

GST Registration Number

PAN Card Number

Registered Business Address *

State *

District *

PIN Code *

📊 3. Business Profile & Infrastructure

Years in Agricultural / Wholesale Business

Expected Monthly Purchase Volume

Target Product Categories

Dedicated Warehouse Available? *

Current Distribution Network & Retail Coverage

Additional Information / Special Requests

📁 4. KYC & Verification Documents (Max 10MB each: PDF, JPG, PNG)

GST Certificate

PAN Card Document

Trade / Mandi / FSSAI License

Supporting Business Proof (Optional)

🔑 5. Account Security & Dealer Portal Login

Create a secure password below. Once your application is verified and approved by the admin desk, you will use your Email Address and this Password to sign in to the Dealer Portal (/dealer-login).

Create Portal Password * Must be at least 6 characters.

Confirm Password *