To register, kindly fill the application form below.

Please ensure that you can provide a soft copy of the following documents after we contact you:

  1. Certificate of Company Registration from the Corporate Affairs Commission
  2. Application letter to become a distributor
  3. Scanned copy of the Bank reference letter
  4. Passport photograph of the company’s proprietor/MD
  5. Passport photograph of the company’s representative (Optional)


For more information, please call the Sales Representative at 07035255888. Completed forms/applications can also be sent by email to

    Name of Registered Business

    Name of Director/Promoter

    Business Address

    Email Address

    Phone Number

    Certificate of Incorporation Number

    Date of Incorporation

    Attach a copy of your Certificate of Incorporation (.pdf, .jpg, .png files allowed. File must not exceed 5MB)

    What is your business type? (Please select all that apply)


    Do you currently sell sanitizers?


    Proposed area of coverage

    Proposed amount of investment

    Storage facility size (in square meters)

    Additional Information (if any)