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GYANVI FOODTECH

Management Suite

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GYANVI FOODTECH

GYANVI FOODTECH PVT. LTD.

Pure Taste • Pure Trust
GSTIN: 09AAKCG6695C1Z7 CIN: U15400UP2022PTC168341
Dealer / Distributor Application Form
1. Application Type
Applying For
Authorized Dealer
Authorized Distributor
Super Stockist
2. Firm / Company Profile
Firm/Company Name  
Contact Person / Proprietor  
Legal Status
Proprietorship
Partnership Firm
LLP
Pvt. Ltd.
Other
Office Address  
 
Godown Address  
 
Contact No(s)   Email ID  
GSTIN   PAN No  
FSSAI No  
4. Infrastructure & Commercial Details
Proposed Investment (INR)  
Godown Storage Space (Sq. Ft.)  
Target Distribution Area / Territory  
GYANVI FOODTECH

GYANVI FOODTECH PVT. LTD.

Pure Taste • Pure Trust
GSTIN: 09AAKCG6695C1Z7 CIN: U15400UP2022PTC168341
3. Product Range Interest Selection

Please check the boxes for the product segments you wish to distribute/deal in:

Product Category & Items Product Category & Items
Packaged Drinking Water (Brand: Oxifresh)
Oxifresh Water 500 ml Bottles

Oxifresh Water 1 Litre Bottles
Noodles & Chowmein Segments
Noodles / Chowmein (Regular)

Maggie (Instant Noodles)

Hakka Noodles
Pasta & Macaroni Range
Macaroni

Pasta (Different Varieties)

Vermicelli (Choti Samai)

Spaghetti
Soya Products Portfolio
Soya Badi (Choti)

Soya Badi (Medium)

Soya Badi (Badi)

Soya Powder
Semai Portfolio
Vermicelli (Plain)

Semai (Fry / Roasted)
Roasted Premium Items
Roasted Makhana

Roasted Peanut

Roasted Channa

Premium Dry Fruits
Staples & Flours
Poha
Flour Items (Atta / Maida / Besan)
Declaration: I/We hereby declare that all the information provided above in this Profile Application Form is completely true, genuine, and accurate to the best of my/our knowledge. I/We understand that any false or misleading statement may result in the rejection of this application profile or immediate termination of any associated business contract subsequently signed with Gyanvi Foodtech Pvt. Ltd.
Date & Place: ...........................
Applicant Signature

Applicant's Signature & Firm Stamp

GYANVI FOODTECH

GYANVI FOODTECH PVT. LTD.

Pure Taste • Pure Trust
GSTIN: 09AAKCG6695C1Z7 CIN: U15400UP2022PTC168341
Dealer / Distributor Agreement
Legal Terms & Conditions
This Agreement (“Agreement”) is entered into between Gyanvi Foodtech Pvt. Ltd., registered at B-3/262, Vishal Khand, Gomti Nagar, Lucknow - 206010 (“Company”), AND the approved Dealer/Distributor whose parameters and corporate credentials are systematically declared in the preceding Application Form (“Dealer/Distributor”).
For Gyanvi Foodtech Pvt. Ltd.

Authorized Signatory

(Official Company Seal, Signature & Stamp)

Accepted By Dealer / Distributor
Applicant Signature

Authorized Dealer Signature

(Full Signature, Personal Seal & Firm Stamp)

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