Stem
Stem Lab
Atal Lab
Courses
Groups
Competitions
Shop
My Account
Menu
0
₹
0.00
Distributor
Home
Distributor
Please enable JavaScript in your browser to complete this form.
User Registration
-
Step
1
of 7
Name
*
First
Last
Email
*
Mobile Number
*
Enter your mobile number for user registration
Create Username
*
Create your company "username" e.g "corechamp"
Create Password
*
Password
Confirm Password
Create your "password" for login to core champ website
Next
Company Detail for GEM Re-seller Agreement
Kindly fill your organization details very carefully. Company's detail is required to registration on GEM if not registered before and required for re-seller agreement.
Company Name
*
Please enter your business organization name.
Company Type
*
Private Limited
LLP
Proprietorship
FIRM
Trust or Society
Company's Registration Date
*
Kindly add your company's start/registration date
Industry/Business Domain
*
For Example- Educational, Information Technology, Electronics Hardware
Company's CIN Number (applicable for Pvt Ltd and LLP)
Please enter your Corporate Identity Number. (applicable for Pvt Ltd and LLP Only)
Upload Company Incorporation Certificate
Click or drag a file to this area to upload.
Kindly Attach Company Incorporation Certificate in pdf format only (applicable for Pvt Ltd and LLP Only)
Company's PAN Number
*
Please enter company's PAN number for PLC or LLP or Personal PAN Card for Proprietorship
Upload Company PAN
*
Click or drag a file to this area to upload.
Kindly Attach Company's PAN CARD in pdf format only
GST Number
*
Please enter Company's GST Number
Upload GST Certificate
*
Click or drag a file to this area to upload.
Kindly Attach Company's GST Certificate in pdf format only
MSME Number
Please enter Company's MSME Udyog Aadhaar Number
Upload MSME certificate
Click or drag a file to this area to upload.
Kindly Attach Company's MSME Certificate in pdf format only
GEM Seller ID
*
Kindy copy your GEM Seller Id from your GEM Seller Panel
Preferred State for Distributorship
*
AP|Andhra Pradesh
AR|Arunachal Pradesh
AS|Assam
BR|Bihar
CT|Chhattisgarh
GA|Goa
GJ|Gujarat
HR|Haryana
HP|Himachal Pradesh
JK|Jammu and Kashmir
JH|Jharkhand
KA|Karnataka
KL|Kerala
MP|Madhya Pradesh
MH|Maharashtra
MN|Manipur
ML|Meghalaya
MZ|Mizoram
NL|Nagaland
OR|Odisha
PB|Punjab
RJ|Rajasthan
SK|Sikkim
TN|Tamil Nadu
TG|Telangana
TR|Tripura
UT|Uttarakhand
UP|Uttar Pradesh
WB|West Bengal
AN|Andaman and Nicobar Islands
CH|Chandigarh
DN|Dadra and Nagar Haveli
DD|Daman and Diu
DL|Delhi
LD|Lakshadweep
PY|Puducherry
Select one particular state where you want to focus and sell ATL Products
Estimated Turnover
*
Please enter estimated turnover till last financial year, if it is 0, kindly enter 0 only
Company Website Address
Kindly enter company's website url if any
Company official Email ID
*
Kindly enter company's official email address
Company's Official Telephone/Mobile Numbers
*
Kindly enter company's official Telephone/Mobile Number
Company's Logo
Click or drag a file to this area to upload.
Please attach PNG/JPEG/PDF Logo of company. File/Image shouldn't be more then 10 MB.
Previous
Next
Company's Registered/Billing Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Kindly enter address on which company is actual registered. it must be matched with your GST Registered address
Communication Address is same as Registered Address?
*
Yes
No It's Different
Company's Communication Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Kindly enter address if communication address is different from registered/billing address
Previous
Next
Company's Bank Detail
Please enter company's primary bank's detail
Account Beneficiary Name
*
Kinldy enter name on which your account is opened in bank for example: Corechamp Technologies Private Limited
Bank Account Number
*
Kindly enter company's bank account number
IFSC Code
*
Kindly enter IFSC Code
Bank Name
*
Kindly enter Bank Name. E.g ICICI Bank
Previous
Next
Primary Member/Authorized Person Information
“Primary Member/Authorized Person” means an individual authorized to legally bind your company and being allowed to sign agreement and receive the Services.
Name
*
First
Last
Full Name of Primary Member/Authorized Person
Email
*
Email ID of Primary Member/Authorized Person
Date of Birth
*
Date of Birth of Primary Member/Authorized Person
Aadhaar Number
*
Aadhaar number of Primary Member/Authorized Person
Mobile number linked with AADHAAR
*
Mobile number of Primary Member/Authorized Person
Upload Aadhar Card
*
Click or drag a file to this area to upload.
Upload Aadhar Card of Primary Member/Authorized Person
PAN Number
*
Please enter PAN number as mentioned in PAN Card of Primary Member/Authorized Person
Upload PAN Card
*
Click or drag a file to this area to upload.
Upload PAN Card of Primary Member/Authorized Person
Digital Signature by Primary Member/Authorized Person
*
Clear Signature
This is to assure that Primary Member/Authorized Person have filled this form
Previous
Next
Co-ordinator Information
"Coordinator Means” means a person authorized by Company on member list as being allowed to communicate for the execution of the services and to communicate with CORE CHAMP on the behalf of your company
Name
*
First
Last
Email
*
Email ID of Co-ordinator
Date of Birth
*
Date of Birth of Co-ordinator
Aadhaar Number
*
Aadhaar number of Co-ordinator
Mobile number linked with AADHAAR
*
Mobile number of Co-ordinator
Upload Aadhar Card
*
Click or drag a file to this area to upload.
Upload Aadhaar Card of Co-ordinator
PAN Number
*
Please enter PAN number as mentioned in PAN Card of Co-ordinator
Upload PAN Card
*
Click or drag a file to this area to upload.
Upload PAN Card of Co-ordinator
Digital Signature by Co-ordinator
*
Clear Signature
This is to assure that co-ordinator have filled this form
Previous
Next
Terms & Conditions
GEM Authorization Terms & Condition
*
I/We agree to the Membership Details, Payment, Authorization and any applicable Terms & Conditions of Services Package Addendum in this Membership Agreement.
• Incorrect Authorization details can lead to penalization by GEM.
• Product Catalogue created by OEM will be used by Authorized Reseller without any requirement of further endorsement or change of any kind (As per AIM, NITI Aayog Guidance).
• Distributor’s Prices for all four Packages (mentioned above) will be provided in separate quotation and will be revised time to time.
• As being the Authorized Re-seller of Corechamp Technologies Private Limited, if any bid is being awarded through CORE CHAMP Brand to you on GEM ,which is related to Catalogue mentioned above, you will be bound to purchase material from Corechamp Technologies Private Limited. Failing to do so can lead to legal action or un-authorization from GEM portal.
• This Agreement, including the Terms and Conditions and GEM Re-Seller Authorization Details, and any applicable Service Package Addendum, will be effective when signed by both parties. In the event of any conflict between the Terms and Conditions and the GEM Re-Seller Authorization Details, the Authorization shall prevail.
• By signing this Agreement, you represent to us that you have the proper authority to execute this Agreement on behalf of the company listed above and incur the obligations described in this Agreement on behalf of such company.
Custom Captcha
*
=
Previous
Submit
Your Shopping cart
Close