Aquaura Essentials LLP

Application for Super Stockiest / Distributor

Fill in your business details below. Our team will review your application and get in touch with you shortly.

Name of the Firm/Co. Applicant (Proprietorship / Partnership / Pvt. Ltd. Co. / Others) *

Delivery Address *

GST No. (Business)

Aadhar No. (If not GST No.)

PAN Card No.

Your Mobile No. (Business) *

Items Traded (Retail) — 1

Items Traded (Retail) — 2

Business Turnover (Amount in Rupees)

How much can you invest for Aquaura Essentials LLP?

Bank Name

Account No.

Branch

IFSC Code

Godown Address

Tel. No.

Area (Sq.Ft.)

Insurance Valid Up to

I, (Your Full Name) *

S/o (Father's Name)

Place

Date

Attach Documents (self-attested photocopies — GST/PAN/Aadhar, PDF or image, max 5MB)

I declare and inform that the above details are true and correct to the best of my knowledge. *