Retailer Application - Nathan Health Plus

Personal Information

Applicant Name *

State *

District *

Taluk *

Street Name *

Door No *

Pincode *

Phone Number *

WhatsApp Number *

Email *

Business Information

Business Name *

Ownership Type *

Business Type *

Business State *

Business District *

Business Taluk *

Street Name *

Door No *

Business Pincode *

Business Phone Same as personal phone

Business Location *

License & Documents

Mandatory Documents Required

These documents are required for registration

Additional Documents Optional

Select applicable licenses (you can select multiple)

Click to add documents...

Upload Selected Documents

Select additional documents above to upload.

Verification

Choose verification method:

SMS OTP

Receive on phone

Email OTP

Receive on email

Application Submitted!

Application ID:

Next Steps

Online Application

Completed successfully
Document Verification

Our team will call you within 1-2 business days
Field Verification

Our team will visit your shop. Keep ready: Aadhaar, Bank Passbook, Original Certificates
Start Shopping

Once approved, you can start purchasing medicines

Application Already Exists!

An application with this phone or email already exists.

Your Application ID:

Status:

You cannot submit another application.

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Personal Information

Business Information

License & Documents

Upload Selected Documents

Verification

Application Submitted!

Next Steps

Online Application

Document Verification

Field Verification

Start Shopping

Application Already Exists!