Agrexfarming

Full Name

Contact Number

Email Address

Permanent Address

Proposed Business Location (Address)

Postal Code

City

Office Space Availability (Minimum 10x15 ft required)

Existing Business License (if any)

Business Experience in Agriculture Sector (Years)

One-Time Distributor Fee

I agree to pay INR 85,000 as the distributor fee.

Bank Account Details for Profit Sharing

Seed License (if available)

Fertilizer License (if available)

Insecticide/Pesticide License (if available)

GST Registration Number

Trade License (for District)

I agree to operate the shop per Agrex’s guidelines and ensure compliance with all local and national laws.

I consent to maintain and renovate the shop space to uphold Agrex’s brand reputation.

I agree to the 30% profit share model.

I confirm that I have reviewed and agree to all terms of the legal distributor agreement.

Signature

Date

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