Online Application Form

Business Experience

Name of Firm*

Name of Owner*

Address

Mobile*

Gram / Fax / Telex

Your Email*

Nature of Firm*
Proprietary Private Limited Public Limited

BASIC INFORMATION

#	Name of Franchise / Product	Period	Annual Turnover of Previous Year
1
2
3
4

DETAILS OF PROPOSED FIRM

Name of Firm*

Name of Owner*

Address

Mobile*

Gram / Fax / Telex

Your Email*

Nature of Firm*
Proprietary Private Limited Public Limited

Owner/Partner's Details

Proposed Facilities for Dealership

Address Proposed Showroom* If, Workshop Address Same as Showroom Address

Address Proposed Workshop

Frontage of Workshop(Ft.)

Area of Showroom (Sq. Ft.)

Area of Workshop (Sq. Ft.)

Own / Rented
Own Rented

Workshop is Attached with Showroom
Attached Seperate

If Seperate, How Far (Km.)

Proposed Investment

For Showroom( In Rs.)

For Workshop( In Rs.)

Working Capital( In Rs.)

Own Resources( In Rs.)

Bank Loan( In Rs.)

Others (Please Specify)( In Rs.)

MARKET ESTIMATE

1. Market Potential and Size

Total 3 Wheeler Population in Town

# Please furnish above details as per RTO records

Popular Model of Public Transport in Your Territory

Likely Potential for Our Range of Products (Per Month)

GOODS

PASSENGER