Contact No.
91-8755904985
Email Us
info@patanjalibio.com
Home
About US
VISION & MISSION
WHO WE ARE
Our Legacy
YOGRISHI SWAMI RAMDEV JI
DR. ACHARYA BALKRISHNA JI
OUR PRODUCTS
Bio-Fertilizer
Patanjali Azoto Plus
Patanjali Bio Potash Plus
Patanjali PSB Plus
Patanjali Bio NPK Plus
Patanjali Bio Zinc Plus
Patanjali Jaivik Poshak
Patanjali Rhizo Plus
Bio-Pesticides
Patanjali Tricho
Patanjali Fluorescens
Patanjali Neem Gold
Patanjali Verti
Patanjali Beauveria
Patanjali Suraksha
Patanjali Nemakil
Organic Manure
Patanjali Jaivik Khad
Patanjali Jaivik Prom
Natural Pori Potash
Dharti Ka Chowkidar
Plant Growth Promoter
Patanjali Fasal Tara
Patanjali Chetna
Patanjali Gibrika
Patanjali Umang
Patanjali Jaivik Kranti
Pori Sindhuka
Micronutrients
Patanjali Boron - 20
Patanjali Magni - Gold
Pori Bhu - Amrit
Pori Ferrous
PORI MANGANESE
Pori Mono Zinc
Pori Sulphur
PORI Super Active Zinc
FARMER SERVICES
R & D
CONTACT US
CAREER
PARTNER WITH US
REACH OUT TO US
BUY NOW!
Home
> Registration
Registration
Form
PORI Agri-Inputs Distributorship Registration Form
Personal Information
Name
Date of Birth
Gender
Male
Female
Address
City
State
PIN Code
Contact Number
Email Address
Business Information
Business Name
Type of Business
Select Business Type
Retail
Wholesale
Other
Business Address
City
State
PIN Code
GST Number
PAN Number
Business Establishment Year
Annual Turnover
Previous Experience with Agri-Inputs
Yes
No
If Yes, Details
Godown Available
Yes
No
If Yes, Details (Area - in Sqft)
Commercial Vehicle Available
Yes
No
If Yes, Details
No. of Staff/Labour
Yes
No
If Yes, Details
Security Deposit
Rs 2,50,000/-
Yes
No
Bank Information
Bank Name
Branch
Account Number
IFSC Code
Additional Information
How did you hear about us?
Online
Offline
Other
Any other relevant information
Attach relevant documents (if any)
Submit