Supplier Form

DhirajSons is inviting more and more suppliers who believe in providing the best to the end customer needs. We strive to offer them the highest value at the lowest prices, with a wide range of choices that could include yours.

In order for us to reach you quickly for further details, we request you to ensure that you have filled all the fields including your contact information correctly

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Fields marked with * are compulsory.
Company Name * :
Address :
Website :
Contact Person Name :
Mobile No. * :
Telephone Number :
Email * :
Goods/Services Being Offered :
Pan card :
VAT Tin No :
Period in distributorship/ Manufacturing/Import :
Area Covered :
Annual_Turnover :
NMMC Cess No. (If any) :
[1] Name of Retailer Name :
[1] Retailer Turnover :
[2] Name of Retailer Name :
[2] Retailer Turnover :



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