{"id":56,"date":"2022-12-12T08:25:57","date_gmt":"2022-12-12T08:25:57","guid":{"rendered":"https:\/\/thomasseafoods.com\/application-form\/?page_id=56"},"modified":"2022-12-12T12:42:19","modified_gmt":"2022-12-12T12:42:19","slug":"super-stockist","status":"publish","type":"page","link":"https:\/\/thomasseafoods.com\/application-form\/super-stockist\/","title":{"rendered":"Super Stockist Application Form"},"content":{"rendered":"<body><!-- HTML Forms v1.7.1 - https:\/\/wordpress.org\/plugins\/html-forms\/ -->\n<form method=\"post\"  class=\"hf-form hf-form-6 \" data-id=\"6\" data-title=\"Super Stockist Application Form\" data-slug=\"super-stockist-application-form\" data-message-success=\"Thank you! We will be in touch soon.\" data-message-invalid-email=\"Sorry, that email address looks invalid.\" data-message-required-field-missing=\"Please fill in the required fields.\" data-message-error=\"Oops. An error occurred.\" data-message-recaptcha-failed=\"reCAPTCHA verification failed. Please try again.\" data-message-recaptcha-low-score=\"Your submission appears to be spam. Please try again.\"><input type=\"hidden\" name=\"_hf_form_id\" value=\"6\" \/><div style=\"display: none;\"><input type=\"text\" name=\"_hf_h6\" value=\"\" \/><\/div><div class=\"hf-fields-wrap\"><div class=\"row\">\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-name ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"name\" placeholder=\"Enter your name\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-email ltn__custom-icon\">\r\n                                        <input type=\"email\" name=\"email\" placeholder=\"Enter email address\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-phone ltn__custom-icon\">\r\n                                        <input type=\"number\" name=\"phone\" placeholder=\"Enter phone number\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"educational-qualiifcation\" placeholder=\"Educational Qualification\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-12\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"address\" placeholder=\"Address\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-name ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"business-name\" placeholder=\"Business name\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"business-location\" placeholder=\"Business location\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-name ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"contact-person\" placeholder=\"Contact person\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-phone ltn__custom-icon\">\r\n                                        <input type=\"number\" name=\"contact-person-phone\" placeholder=\"Enter phone number\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"position\" placeholder=\"Position with Business\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-email ltn__custom-icon\">\r\n                                        <input type=\"email\" name=\"contact-email\" placeholder=\"E-mail address\" required>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-email ltn__custom-icon\">\r\n                                        <select class='form-control' name=\"proprietorship\" id='id_title'>\r\n                    <option>Proprietorship<\/option>\r\n                    <option>Agency<\/option>\r\n                    <option>Partnership<\/option>\r\n                    <option>PVT LTD<\/option>\r\n                    <option>Others<\/option>\r\n                  <\/select>\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"other-type\" placeholder=\"If Other Company type, Please Specify\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-phone ltn__custom-icon\">\r\n                                        <input type=\"number\" name=\"tel\" placeholder=\"Enter Telephone\/ Mobile Number\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-website ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"website\" placeholder=\"Website\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"office-space\" placeholder=\"Office space (sq. ft.)\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"godown-space\" placeholder=\"Godown space (sq. ft.)\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"godown-location\" placeholder=\"Godown Location(s)\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"years\" placeholder=\"No. of Years involved\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-12\">\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon\">\r\n                                        <input type=\"text\" name=\"vehicle\" placeholder=\"Type & No. Vehicles for distribution\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-12\">\r\n                                    <h2>Business Information<\/h2><\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Business established date<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"business-date\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Capital amount<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"capital-amount\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>What types of products do you currently sell?<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"product-type\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Which of our products are you interested in selling?<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"intrested-product\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Why do you choose UMAMI products?<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"why-choose\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>How do you plan to market our products?<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"market-plan\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-12\">\r\n                                    <label>How do you wish to have UMAMI assist you in promoting the UMAMI brand locally?<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"brand-locally\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Date of Proposal:<\/label>\r\n                                    <div class=\"input-item t-0\">\r\n                                        <input class=\"new-in\" type=\"date\" name=\"date-of-proposal\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Name of the Party:<\/label>\r\n                                    <div class=\"input-item input-item-name ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"party\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-12\">\r\n                                    <label>Name of the Proprietor \/ Partner \/ Director Mobile No:<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"director-mobile\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Address of Business (Pin code is must):<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"address-pincode\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Address of Warehouse: (If Separate from office)<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"warehouse-address\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>TNGST No. (Kindly attach certificate copy):<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"tngst\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>PAN No. (Kindly attach Certificate Copy):<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"pan\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Year of establishment:<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"year-establish\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Proposed Coverage Areas:<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"areas\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-12\">\r\n                                    <label>Name of Authorized Signatory:<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"authorized-signatory\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>No. of Field Personal employed:<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"emplyee-no\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-6\">\r\n                                    <label>Total No. of Parties \/ Retailers serviced by the firm:<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"no-parties\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-12\">\r\n                                    <p>Please make sure that all information provided above is correct and factual. Once the form is complete, all information listed will be kept strictly confidential between the companies applying. It shall not be released to any third party.<\/p>\r\n                                <\/div>\r\n                                <div class=\"col-md-4\">\r\n                                    <label>Company Name:<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"company-name-1\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-4\">\r\n                                    <label>Applicant Name:<\/label>\r\n                                    <div class=\"input-item input-item-textarea ltn__custom-icon t-0\">\r\n                                        <input class=\"new-in\" type=\"text\" name=\"applicant-name\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                                <div class=\"col-md-4\">\r\n                                    <label>Date:<\/label>\r\n                                    <div class=\"input-item t-0\">\r\n                                        <input class=\"new-in\" type=\"date\" name=\"date-1\">\r\n                                    <\/div>\r\n                                <\/div>\r\n                            <\/div>\r\n                            <div class=\"btn-wrapper mt-0\">\r\n                                <button class=\"btn theme-btn-1 btn-effect-1 text-uppercase\" type=\"submit\">Submit<\/button>\r\n                            <\/div>\r\n                            <p class=\"form-messege mb-0 mt-20\"><\/p><noscript>Please enable JavaScript for this form to work.<\/noscript><\/div><\/form><!-- \/ HTML Forms -->\n<div class=\"sec-title mt-40\">\n<h2>Get Offline Form<\/h2>\n<div class=\"pdf-link mb-20\">\n<p class=\"mb-10\">Please send this application form through Registered Post (or) e-mail only.<\/p>\n<p>                                <a class=\"btn theme-btn-1 btn-effect-1 text-uppercase\" href=\"https:\/\/thomasseafoods.com\/img\/TSF-Super-Stockist-Form.pdf\" target=\"_blank\" rel=\"noopener\">Click Here<\/a>\n                                <\/p><\/div>\n<\/div>\n<\/body>","protected":false},"excerpt":{"rendered":"<p>Get Offline Form Please send this application form through Registered Post (or) e-mail only. Click Here<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"class_list":["post-56","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/thomasseafoods.com\/application-form\/wp-json\/wp\/v2\/pages\/56","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thomasseafoods.com\/application-form\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/thomasseafoods.com\/application-form\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/thomasseafoods.com\/application-form\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/thomasseafoods.com\/application-form\/wp-json\/wp\/v2\/comments?post=56"}],"version-history":[{"count":3,"href":"https:\/\/thomasseafoods.com\/application-form\/wp-json\/wp\/v2\/pages\/56\/revisions"}],"predecessor-version":[{"id":67,"href":"https:\/\/thomasseafoods.com\/application-form\/wp-json\/wp\/v2\/pages\/56\/revisions\/67"}],"wp:attachment":[{"href":"https:\/\/thomasseafoods.com\/application-form\/wp-json\/wp\/v2\/media?parent=56"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}