Applying for?
Dealership
Franchise
Name of the firm
Full Address
Nearest Railway Station
Nearest Transport Terminus
Telephone with STD Code
Fax
E-mail
Whether Proprietor/Partnership
Name of the proprietor/Mg. Partner/Mg. Director
Residential Address
Telephone Number Office
Telephone Number Home
Mobile No
Name/Residential Address of the other Partners/Directors
Name
Resi. Address
Phone No.
Religion
Name
Resi. Address
Phone No.
Religion
Name
Resi. Address
Phone No.
Religion
Name
Resi. Address
Phone No.
Religion
Name
Resi. Address
Phone No.
Religion
TIN No
Copy attached
CST Registration No.
Date
Copy attached
Local S.T. Registration No.
Date
Date
Select Month
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Select Date
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Copy attached
Name and Address of Banker
Details of Security Deposit(RS. 10,000/-)
Whether owning godown/shop. If so, its location and approximate value of goods at any one time
Payment against goods has to be made by direct deposit in A/C of VOLT E BYK.
Prices or incentive schemes introduced by the company shall be binding on us and we cannot deduct ant payment without written approval from company’s Head Office.
Replacement if any shall be subject to approval from company’s Quality control department and we cannot claim replacement without approval of such defects by Quality Control department of the company whose decision shall be final and binding on us. However, such components for replacement shall be sent to company for inspection only after company’s Field Representative inspected the same visually and given in writting for sending it to company for final check.