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Full Name
*
Email Address
*
Phone Number
*
This will be your Referral ID
Password
*
Use 6+ characters with letters and numbers
Confirm Password
*
User Type
*
Select User Type
User
Distributor
Outlet
Outlet on Wheels
Digital Outlet
Super Stockiest
Promoter
Farmer
Referral ID
Optional
Enter the phone number of the person who referred you (leave blank if none)
1
Distributor Details
Company / Firm Name
Number on WhatsApp?
Yes
No
GST Number (if registered)
2
Location
Address
*
City
State
PIN Code
Preferred Territory / Area of Operation
3
Business Profile
Business Type
*
-- Select --
Individual
Retailer
Wholesaler
Distributor
Franchise Partner
Other
Years of Experience
Business Model Interested In
*
-- Select --
Outlet
Outlet on Wheels
Digital Outlet
Not Sure / Discuss
Investment Budget
-- Select --
Under ₹10,000
₹10,000 – ₹25,000
₹25,000 – ₹50,000
₹50,000 – ₹1,00,000
Above ₹1,00,000
Products of Interest
Murrel Fish
Country Chicken
Country Chicken Eggs
Prawns
Non Veg Pickles
4
Additional Info
Why do you want to partner with SOCF?
*
Referral Code (optional)
I agree to be contacted by SOCF and accept the
Privacy Policy
.
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I agree to the
Terms of Service
and
Privacy Policy
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