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Registration Amount
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Application Form
Licence Amount
LOI File Upload
Security Amount
Agreement Copy
Licence Issued
GST Document
Serial No.
Year
Please Select
Dealership
Sub Dealership
Distribution
Other
Details of Application 1
Name
S/o, W/o, C/o
Peramnent Address
State
District
Block
Pincode
Gender
Male
Female
Other
Date of Birth
Are you the citizen of India
Martial Status
Single
Married
Divorced
Widow(er)
Qualification
Mobile
Email
Details of Application 2
Name
S/o, W/o, C/o
Peramnent Address
State
District
Block
Pincode
Gender
Male
Female
Other
Date of Birth
Are you the citizen of India
Martial Status
Single
Married
Divorced
Widow(er)
Qualification
Mobile
Email
Upload Photo
Passport Size Photo of the Applicant 1
Passport Size Photo of the Applicant 2
Present Occupation / Profession
Firm Name
Firm Type
Proprietorship
Partnership
Private Ltd. Co
Public Ltd. Co.
Total Turnover
Total Employees
Is this your main source of income or additional?
Primary
Additional
Assets Details
Do you reside in owned house, inherited or rented??
Owned
Inherited
Rented
Have you invested in share market, insurance or any other investment institution?
Yes
No
Have you taken any kind of loan which is still outstanding?
Yes
No
Select Document Type
Adhaar Card
Pan Card
Driving License
Bank Statement
ITR
Electricity Bill
GST
other
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