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General Information about the Distributor
Name of the company/distributor
*
Name of the manager
*
Full address
*
Phone number
*
Email address
*
Website (if applicable)
Information about the Company
Tax identification number
*
Legal status
*
LLC, SAS, individual company, etc.
Year of establishment
*
Main sectors of activity
*
Distributed Products
Types of agri-food products
*
Select product
Fruits and vegetables
Cereal products
Dairy products
Meat/poultry
Beverages (non-alcoholic/food)
Other
Types of agri-food products : Others (specify)
Distribution Area
Covered regions
*
Distribution methods
*
Select method
Direct Delivery
Wholesale
Other
Distribution methods : Others (specify)
Certifications and Compliance
Do you have certifications?
*
Yes
No
If you have certification : specify
Compliance with hygiene and safety standards?
*
Yes
No
If Compliance with hygiene and safety standards is no : specify
Required Documents (To be attached to the form)
Copy of the commercial register
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No file chosen
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Copy of the tax identification number
Choose File
No file chosen
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Sanitary compliance certificate (if applicable)
Choose File
No file chosen
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List of products with technical details
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No file chosen
Delete uploaded file
Distributor's Declaration
Consent
*
I declare that the information provided is accurate and complete.
Date of submission: 12/03/2025
Submit
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