Become a Distributor Partner

[EDITABLE PLACEHOLDER — replace with your final approved copy] Join NutriBlitz Foods & Beverages as a Distributor, Super Stockist, or Sub-Distributor Partner and grow your business with a fast-moving portfolio of healthy snacks and beverages. Please complete the application below with accurate business and contact details — our team will review your submission and get in touch with the next steps.

Contact Details

Business Information

Business Documents

FMCG Experience

Distributorship Requirement

Warehouse and Logistics

Financial Readiness

Review and Submit

Section 1 · Applicant Contact Details

Tell us a little about yourself so our team can reach you.

Full Name *

Mobile Number *

WhatsApp Number

Email Address *

Designation / Position in Company *

Preferred Contact Method

Preferred Contact Time

Section 2 · Business Information

Details about your firm and registration.

Firm / Company Name *

Type of Business *

If “Other”, please specify

Year of Establishment

Complete Business Address *

City / Town *

District *

State *

PIN Code *

GSTIN

PAN Number

FSSAI License Number

Shop and Establishment / Trade License Number

Company Website

Google Maps Location Link

Instagram / Facebook / LinkedIn Business Profile Link

Section 3 · Business Documents

All uploads in this section are optional. Accepted formats: PDF, JPG, JPEG, PNG · Maximum size: 5 MB per file.

Documents are used only for verification and distributor-application review. They are stored securely and are never displayed publicly.

GST Certificate

PAN Card

FSSAI License

Shop and Establishment License

Business Registration Certificate

Cancelled Cheque

Warehouse / Godown Photograph

Company Profile or Existing Product Catalogue

Section 4 · FMCG Distribution Experience

Are you currently an FMCG distributor? *

Total FMCG Distribution Experience *

Existing FMCG Brands Handled

Existing Product Categories Handled

NamkeenSnacksBeveragesBiscuitsConfectioneryDry FruitsGroceryDairy ProductsFrozen FoodsPersonal CareOther

Current Monthly FMCG Sales Turnover

Total Number of Active Retailers Covered

Total Number of Wholesalers / Sub-Distributors Covered

Total Number of Sales Representatives

Total Number of Delivery Staff

Current Distribution Territory / Areas Covered

Main FMCG Market / Retail Clusters Covered

Section 5 · Distributorship Requirement

Applying For *

Preferred State *

Preferred District *

Preferred City / Town *

Preferred Distribution Territory / Localities *

Estimated Number of Retailers You Can Cover *

Expected Monthly Purchase Potential *

Proposed First Order Value *

Are you requesting exclusive distribution rights?

Why do you want to partner with NutriBlitz? *

Which NutriBlitz product categories / brands are you most interested in?

Munch VedaFizzy FlowBits SipsNutri BowlAll brands / Not sure yet

Additional Comments or Requirements

Section 6 · Warehouse and Logistics

Do you have a warehouse / godown? *

Warehouse Storage Condition

Warehouse / Godown Address

Warehouse Ownership

Warehouse Area in Square Feet

Number of Delivery Vehicles Available

Vehicle Types

Two-wheelerThree-wheelerPickup VehicleMini TruckTruckRented TransportOther

Do you have a dedicated sales team?

Can you ensure regular market visits and retailer servicing?

Can you maintain required stock levels?

Section 7 · Financial and Commercial Readiness

Available Working Capital *

Preferred Payment Method

Are you comfortable with 100% advance payment for orders? *

Are you willing to follow NutriBlitz’s distributor policies, pricing and market guidelines? *

How did you hear about NutriBlitz?

Section 8 · Declaration, Consent & Submit

Please review your details on the previous steps using the Back button if needed, then confirm the declarations below to submit your application.

I confirm that all information and documents submitted in this distributor application are correct and complete to the best of my knowledge.

I authorise NutriBlitz Foods & Beverages to verify my business, documents, market presence, references and submitted information.

I understand that submission of this application does not guarantee appointment as a distributor, super stockist, sub-distributor or business partner. Final approval is subject to territory availability, business verification, commercial discussions and written approval by NutriBlitz Foods & Beverages.

I agree to receive calls, WhatsApp messages, emails and business communication from NutriBlitz Foods & Beverages regarding this application, products, schemes, orders and partnership opportunities.

By submitting this form you agree to our Privacy Policy and Terms & Conditions. (Admin: update these two links under the form’s Additional Settings / Appearance once the pages are published, if the URLs differ.)

What is 5 + 3?

By submitting this form, you consent to NutriBlitz Foods & Beverages Private Limited collecting and storing the information and documents you provide, solely for the purpose of evaluating your distributor partnership application. Your data is kept private and is not shared publicly.

up to 50% off and flat $15 cashback