Dealer Application

Apply online to become an authorized dealer or distributor of Elite Agrovet Ltd.

Fields marked * are required.

Personal information I am applying as *

Full name * Father's name

Date of birth NID number

Mobile number *Bangladeshi mobile number, e.g. 01712345678. This will be your login. EmailNeeded to receive your account activation link.

Business information Business / shop name *

Business type Business start year

Trade license number Veterinary drug license number (if any)

TIN / BIN number (if any)

Business location Full business address *

Division * District *

Upazila / Thana Union / Municipality

Preferred dealership territoryAreas you can serve, e.g. Ishwarganj and Gauripur upazilas.

Business capacity

Shop size (sq. ft.) Number of employees

Storage facilitiese.g. separate store room, refrigerator for vaccines, air-conditioning. Previous business experience

Expected monthly purchase volume (BDT) Estimated investment capacity (BDT)

Documents & declaration

JPG, PNG or PDF, maximum 5 MB each. Documents are stored securely and seen only by authorized Elite Agrovet staff.

NID copy * Trade license *

Photograph Veterinary medicine sales / distribution license (if available)

TIN / BIN certificate (if available) Shop photographs (up to 3)

I declare that the information provided is true and complete to the best of my knowledge. I consent to Elite Agrovet Ltd. verifying the information and documents I have provided. I have read and accept the Privacy Policy. Privacy Policy

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