Retail Supplier / Merchant Application

1. Applicant category

Retail Supplier / Merchant Type *

2. Company information

Company / Business Name *

Company Registration No. *

Business Address *

Website / Store URL

Main Product Category *

Business Description *

3. Contact information

Contact Person *

Position / Title

Email Address

Phone / WhatsApp

Country

Preferred Language

4. Manufacturer evidence

Manufacturing Licence / Certification *

Other Certifications

4. Distribution / merchant evidence

Business / Trading Supporting Document *

Current Sales Channel

2. Authorized Retail Store (ARS) - Store & owner information

Store Trading Name *

Business Registration / Licence No. *

Store Physical Address *

Store Type *

Years in Operation

Store Owner / Manager Name *

Phone / WhatsApp

Email Address

Average Daily Customer Traffic

Average Monthly Revenue

Country

Preferred Language

Current operations & product mix

Number of Major Suppliers

Inventory Management Method

Store Size (sq.m)

Refrigerated Display Cases

Frozen Food Display Cases

Back Storage Space (sq.m)

PAMA partnership & digital readiness

Why do you want to become a PAMA ARS? *

Expected Monthly Order Value from PAMA

Smartphone / Tablet for Order Management

Reliable Store Internet

Mobile App Business Skill

Willing to Attend PAMA Portal Training

Required documents

Business Registration / Licence *

Store Front Photo *

Interior Store Photo *

5. Referral / Introducer

Blank or unrecognised codes fall back to PAMA Headquarters (HQ).

Referral / Introducer Code

6. Terms & Conditions

Read Terms. Draft legal text must be approved by PAMA management/legal adviser.

Retail Marketplace Supplier / Merchant Application