Become a Distributor

Fields marked with a * are mandatory.

• Organisation *
  
• Postal Address *
  
• Telephone No. *
  
• Fax
  
• Email-id *
  
• Authorised Representative *
  
• Designation *
  
• Mobile No. *
  
• Nature of Business *
  
• Annual Turnover *
  
• No. of Employees *
  
• Experience in Selling Industrial Consumables and Services *
  
• Territories Covered *
  
• Prior experience in corrosion prevention, if any
  
• We consider ourselves suitable for this position because *
  
• Any other relevant inputs
  
• Region * : CentralEasternNortheasternNorthernSouthernWestern
• State* :
  
• Company registration certificate* :