Apply for Supplier Application

01

Vendor / supplier basic details

Name of vendor / firm / company *

Type of entity *

Proprietorship Partnership LLP Pvt. Ltd. Co-operative SHG FPO NGO Others

Proprietor / partner / director / authorized person *

Designation

Mobile no. *

Email ID *

Website / social media Link

Year established

No. of Employees

02

Registered office / unit address

Address *

Village (if applicable)

Town / city *

State *

District *

PIN code *

Factory / production address (if different)

03

Product category for SHE MART supply

Other category (specify)

Brand name

Major products proposed for supply *

04

Product quality & compliance details

05

Supply capacity & coverage

Monthly production / supply capacity *

Minimum order quantity (MOQ)

Maximum order quantity per month

States / regions for supply *

Delivery mode *

Own Transport Courier Logistics Partner Buyer Pickup

Avg. delivery time after PO

Can you supply to rural / Gram Panchayat level SHE MART outlets? *

Yes

No

06

Commercial terms

Price list attached? *

Yes

No

Wholesale / distributor margin offered to SHE MART

Credit period offered, if any

Return / replacement policy

Damaged / expired product responsibility

Promotional support

Display Material Samples Training Discount Scheme

07

Bank details

Cancelled cheque attached? *

Yes

No

Bank name *

Account holder *

Account number *

IFSC *

Branch

08