Dealer Onboarding Form
Share your business, contact, product, service area, and document details to get started with Raeen Construction Pvt Ltd.
Business Information
Business/Firm Name
*
Legal Entity Type
Please Select
Proprietorship
Partnership
Pvt Ltd
LLP
Other
Year Established
GST Registration Number
*
PAN Number
*
Trade License Number (if applicable)
Registered Business Address
*
Warehouse/Godown Address (if different)
Contact Details
Owner/Proprietor Name
*
Designation
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
WhatsApp Number for order updates
Please enter a valid phone number.
Format: (000) 000-0000.
Product & Category Details
Primary Product Category
*
Construction Materials
Hardware
Electrical
Plumbing
Paints
Safety Equipment
Tools
Waterproofing
Adhesives
Interior Products
Other
Brands Dealt In
Approximate SKU Count
Daily/Monthly Order Fulfillment Capacity
Minimum Order Value if any
Service Area & Delivery
Areas/Pincodes Served
*
Delivery Mode
*
Please Select
Own Vehicle
Third-Party
Customer Pickup
Average Delivery Turnaround Time
Delivery Radius Restrictions
Banking Details
Bank Name
*
Account Holder Name
*
Account Number
*
IFSC Code
*
UPI ID
Document Uploads
GST Certificate
*
Upload a File
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Choose a file
Cancel
of
PAN Card
*
Upload a File
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Choose a file
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of
Business Registration Proof
*
Upload a File
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Choose a file
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of
Cancelled Cheque or Bank Passbook Copy
*
Upload a File
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of
Shop and Establishment License (if applicable)
Upload a File
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Choose a file
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of
Address Proof
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Declaration
I confirm the information provided is true and I agree to Engineer Mart's dealer terms
*
I confirm the information provided is true and I agree to Engineer Mart's dealer terms
Signature typed name
*
Date
*
-
Month
-
Day
Year
Date
Place
Submit
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