Application Form

If you are interested in becoming a distributor for Amul products, please complete the fields below and submit online. This will be reviewed and we will contact you at the earliest to discuss your application.

All fileds are mandatory.

Name of the Firm
Full Address of the Firm

City/Town
State
Pin
Telephone No.
Mobile No.
Fax No.
E-mail ID
Year of Establishment
Business Type
Annual Sales Rs.
Proprietor/ Key Person:
Name
Age
Qualification
Brief background of the company
Infrastructure (Storage Space, refrigeration facility, delivery vehicle etc.) Present:-
Infrastructure Can Provide:-
Capacity to Invest Rs. (Lacs)
Existing Manpower/Salesman
Views on FMCG Distribution as a business proposition
Why are you interested in becoming an Wholesale Dealer for AMUL ?
How do you currently market your products?
How do you propose to market AMUL products ?
Nearest GCMMF's (Amul) Sales Office