Distributor's registration

Redefining agriculture through Innovision

Privi Life Sciences is rapidly expanding its distribution network and is looking out for channel partners to partner in our growth. If you / your business has experience and knowledge of distribution and channel operation in the Agri-input products vertical (fertilizers, pesticides, fungicides, seeds, crop supplements and nutrients, farming and agriculture equipment) we would be happy to hear from you.

Please complete the form with all required details and we shall be in touch with you on the approval and confirmation process. This is a first level registration process and based on your inputs there may be several levels of information, verifications and due diligence required to complete the entire process if your experience, skills and offering are in line with our business requirements

Distributor registration form

Are you assessed for Income tax? If yes, please provide the name of the Office/Circle/Ward number

Yes No

Details of dealings with other agro-chemical manufacturing firms / companies:

Figures of Sales of Agro-chemicals for last two years

For Distributor - Marketing Network of Firm / Company :

Minimum Sales guarantee of Agro -Chemicals to Privi Life Sciences Pvt. Ltd for a period of 12 months

INR 5 - 10 Lakh

INR 10 - 20 Lakh

INR 20 - 30 Lakh

INR More than 30 Lakh