Distributor Application – Chikki Foods

CHIKKI FOODS DISTRIBUTOR APPLICATION FORM

Company Name *

Type of Business

What do you currently trade in? e.g Biscuit , Noodles seller, etc

Owner Name *

First

Last

Phone *

Email *

Head Office Address *

Address Line 1

Address Line 2

City

State / Province / Region

Country

Branch Office Address, If Any

Address Line 1

Address Line 2

City

State / Province / Region

Country

Attach Certificate of Incorporation

For Incorporated or registered companies, please attach a copy of your Business Registration Certificate. Please note that all information in this application will be treated as confidential, but we reserve the right to make inquiries regarding the status of any applicant.

Name