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)