Online Application Form

Business Experience
Name of Firm*
Name of Owner*
Address
Telephone Nos.
(O)
(W)
(R)
Gram / Fax / Telex
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
Telephone Nos.
(O)
(W)
(R)
Gram / Fax / Telex
Email*
Nature of Firm* Proprietary    Private Limited    Public Limited
Owner/Partner's Details
# Name of Owner/Partner % Share Holding Contact Nos.
1
2
3
4
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
Other 3 Wheeler and LCV Dealers in the Territory:
Sr No. Name of Dealership Range of Product Average Units Sold Per Mth#
Pass Goods Total
1
2
3
4
5
6
# Please furnish above details as per RTO records
Popular Model of Public Transport in Your Territory
Sr No. Passenger Goods
1
2
3
4
Likely Potential for Our Range of Products (Per Month)
GOODS
PASSENGER