Fair Ford

Pharma · EST. 2013

Registration Steps

Select Role

Choose your partnership type

Business Details

Company & contact information

Licenses & Docs

Drug license & compliance docs

Account Setup

Mobile OTP & password

Review & Submit

Verify and submit application

Why Fair Ford?

Escrow-based secure payment settlement

AI demand forecasting & inventory alerts

Real-time SKU & batch tracking

Direct hospital procurement access

Live analytics & GST-ready reports

Pan-India distribution network

Partnership Application

Create your account

Join India's largest pharmaceutical commerce network

Select Your Partnership Role

✓

Retailer

Retail pharmacy, chemist shop & medicine outlet

✓

Hospital /
Institution

Hospital procurement, clinics & institutional buyers

Step 1 of 5

Business Information

Business / Company Name *

Owner / Authorised Signatory *

Business Email *

Registered Mobile *

State *

City / District *

PIN Code *

GST Number

15-digit GST identification number

Full Business Address *

Step 2 of 5

Licenses & Compliance Documents

Drug License Number *

Drug License Expiry *

Form 20 / 21 License No.

PAN Number *

FSSAI License (if applicable)

ISO / NABL Cert No.

Document Uploads

Drug License (Both Parts) *

Click or drag to upload

PDF, JPG, PNG — max 5MB

PDF JPG PNG

GST Certificate *

Click or drag to upload

PDF, JPG, PNG — max 5MB

PDF JPG

PAN Card Copy *

Click or drag to upload

PDF, JPG, PNG — max 5MB

Cancelled Cheque / Bank Passbook

Click or drag to upload

For bank settlement setup

Step 3 of 5

Account Setup

Verify Mobile Number *

OTP will be sent to your registered mobile number

Set Password

Create Password *

Enter a password

Confirm Password *

Bank & Settlement Details

Account Holder Name *

Bank Account Number *

IFSC Code *

Bank Name

Step 4 of 5

Review Your Application

Partnership Role

Role Type

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Business Details

Business Name

—

Owner Name

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Mobile

—

State

—

City

—

GST Number

—

PIN Code

—

Licenses

Drug License No.

—

Expiry Date

—

PAN Number

—

Bank Details

Account Holder

—

IFSC Code

—

Bank

—

Declaration

I hereby declare that all information provided in this application is true, accurate and complete to the best of my knowledge. I understand that Fair Ford Platform reserves the right to verify all submitted details and reject the application if any information is found to be false or misleading. I agree to comply with all applicable drug laws, GST regulations and Fair Ford Platform's Terms of Service.

I agree to Fair Ford Platform's Terms of Service and Privacy Policy I confirm all submitted documents are valid, current and legally owned by my business I consent to receive communication from Fair Ford via SMS, email and WhatsApp regarding my application

Step 5 of 5

✓

Application Submitted!

Your Fair Ford partnership application has been received. Our team will verify your documents and contact you within 2–3 business days.

Application Ref: FF-2025-00000