Seamons Seeds – Dealer Portal

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Total Applications

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Completed

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In Progress

—%

Completion Rate

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Licenses Expiring / Expired

Applications Over Time

Last 6 months

By State

Top regions

Recent Activity

Renewals & Expiry

Upcoming license expirations

Application	Dealer / Firm	Location	Progress	Status	Created	By

	User	Role	State	Applications	Last Login	Status	Actions

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Expired

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Expiring in 30 Days

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Expiring in 31–60 Days

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Valid

Dealer / Firm	Location	License No.	Expiry Date	Days Left	Status

App #	Party Code	Dealer / Firm	Location	Status	Created	By

Party Info

Firm Details

Persons & Bank

Declaration

Company

Agreement

Signatures

Submit

Party Information

Basic dealer identification filled by company

Party Code

Name *

Address *

Pin Code *

Mobile No. *

Dist./Dealer Code

GST No. *

Date of Appointment *

Firm Details

Dealer/Distributor application details in block letters

Name of the Firm *

Village

Mandal

Town / City *

District *

State *

Pin Code *

Mobile No. *

E-mail ID *

Registration Details

Seed License No. *

Valid Up To *

GST No. *

PAN No. *

Constitution

Type *

Tick (✓) in the Relevant Box and enclose support documents:

Proprietorship Partnership Co-Op / Assn. Pvt. Ltd. Company

Particulars of Proprietor / Partners / Directors / President of Co-Op / Assn / Power of Attorney

Persons, Bank & Transport

Proprietors / Partners, Bank accounts, Preferred transporters

Proprietors / Partners / Directors

No.	Name *	Age *	Address & Tel No.	Permanent Address
1
2
3

Bank Details

No.	Name of Bank & Branch *	IFSC Code *	Address No.	Sanctioned Limit (₹)
1
2
3

Preferred Transport

No.	Name of Preferred Transport	Location
1
2
3

Declaration by Applicant

Territory declaration and enclosure checklist

I/We hereby declare that the information provided by me/us in this applicaon are true to the best of my/our knowledge and belief and request you, under the power vested in us by the arcles of associaon of the company, rules and bye-laws of the co-operave society/associaon, to appoint us as one of your Distributors / Dealers.
Interest @ 18% will be paid by us for more than 90 days outstanding

Distributor / Dealer At *

Block / Mandal *

District *

State *

Date *

Enclosures (tick ✓ in the Relevant Box)

1. Distributor/Dealer Requisition Letter on Letter Head 2. Partnership Deed / Articles of Association / Co-op Assn. 3. GST Registration Copy 4. Seed License Copy 5. Aadhaar Card Copy 6. PAN Card Copy

Company Employee Section

To be completed by authorised Seamons Seeds employees only

A. Credit Limit Recommendation (₹ in Lakhs)

S.O / S.E *

A.M / R.M *

G.M / H.M *

B. Security Deposit Details

D.D / Cheque No. *

Date *

Amount (₹) *

Bank & Branch *

C. Market Details

Total Distributors/Dealers in Market *

Area Classification *

Urban Rural Semi Urban

The informaon furnished by the party is verified and found correct. The party is recommended for appointment with the following remarks:

Remarks / Verification Notes

Endorsements

Territory In-charge Name *

Territory In-charge Date *

Head Marketing Name *

Head Marketing Date *

A.M / R.M Name *

A.M / R.M Date *

Accounts Name *

Accounts Date *

Witness 1 Name (Behalf Of Seamons Seeds Pvt. Ltd.)

Witness 1 Mobile

Witness 1 Email

Witness 1 Address (Behalf Of Seamons Seeds Pvt. Ltd.)

Witness 2 Name (Behalf Of Distributor / Dealer )

Witness 2 Address (Behalf Of Distributor / Dealer )

D. Cheques Submitted (for Cheque Submission Letter)

No.	Cheque No.	Bank Name & Branch	Amount (₹)
1
2
3

Distributor / Dealership Agreement

Formal agreement execution details

Agreement Entered At (Place) *

Day *

Month *

Year *

Dealer/Distributor Firm Name *

Office Address *

Territory District *

Territory State *

Signatures, Stamps & Documents

Upload signatures · stamps · photos · KYC docs

Tip: Photograph signatures on plain white paper. For docs, scan or take a clear photo.
JPG · PNG · WEBP (signatures) JPG · PNG · PDF (documents) · Max 8MB

KYC & Dealer Documents

Dealer Photo Passport-size photo

No file

Upload Camera

Shop Board Shop signboard photo

No file

Upload Camera

Shop Interior Inside shop view

No file

Upload Camera

Aadhaar Card Front & back scan

No file

Upload Camera

PAN Card Clear PAN scan

No file

Upload Camera

GST Certificate GST registration

No file

Upload Camera

Seed License Valid license copy

No file

Upload Camera

Bank / Cheque Cancelled cheque / passbook

No file

Upload Camera

Signatures & Stamps

Company Sig., Company Stamp & Accounts Sig. are fixed and taken automatically from your Profile — no need to upload them here. Update them anytime from your profile.

Dealer Sig.

No image

Dealer Stamp

No image

Upload Camera

Witness 1 (Behalf Of Seamons Seeds Pvt. Ltd.)

No image

Witness 2 (Behalf Of Distributor / Dealer )

No image

Territory

No image

Upload Camera

Head Mktg.

No image

Upload Camera

A.M / R.M

No image

Upload Camera

Submit Application

All steps saved — finalise your application

Ready to Submit

All sections have been filled and saved to the database.
Click below to mark this application as Completed.

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Party Information

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Declaration by Applicant

Company Employee Section

Distributor / Dealership Agreement

Signatures, Stamps & Documents

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Application Submitted!

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Declaration by Applicant

Company Employee Section

Distributor / Dealership Agreement

Signatures, Stamps & Documents

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