Apply for Dealership

1. APPLICANT INFORMATION Required

Full Name (Individual / Authorized Person) *

Applicant Photo

Passport Size

Click to upload photo

Father's / Husband's Name

Date of Birth

Gender

Male Female Other

Aadhaar Number 12 digit Aadhaar number

PAN Number 10 digit PAN number

Email ID *

Mobile Number *

Alternate Number

2. BUSINESS / ORGANIZATION DETAILS Required

Business / Company / Firm Name *

Type of Entity

GSTIN Number

Trade License Number

Date of Business Constitution

Registered Office Address *

City

State

3. COMMUNICATION ADDRESS If Different

Address

City

State

4. PROPOSED LOCATION & LAND DETAILS Required

Full Address of Proposed Location *

District

State

For Bihar (Khata – Khesra)

For Jharkhand (Khata – Plot)

Land Status

Total Land Area

Location Type

5. DEALERSHIP REQUIREMENTS As per Company Agreement

Additional Requirements (Specify)

I agree to complete all the above-mentioned requirements as per the company agreement.
I understand that these requirements are mandatory and must be fulfilled before the dealership commencement.

6. TANK CAPACITY Recommended

Select the tank capacity you plan to install for Petrol and Diesel.

Petrol Tank Capacity

Select petrol tank capacity

Diesel Tank Capacity

Select diesel tank capacity

Tank capacity details will be reviewed during the dealership approval process.

7. NOC RESPONSIBILITIES Required

Please select the NOCs you will apply for. All NOCs are to be applied by the dealer as per discussion with the company.

Other NOCs (Specify)

I understand my NOC responsibilities:
I understand that I am responsible for applying all NOCs as per discussion with the company. I agree to cooperate fully for all NOC-related processes and will keep the company informed about the progress.

8. DOCUMENTS TO BE ATTACHED Self-Attested Copies

Aadhaar Card (Applicant)

Choose Aadhaar Optional

PAN Card

Choose PAN Optional

Address Proof

Choose Address Proof Optional

Land Document / Lease Agreement

Choose Land Document Optional

Fire NOC

Choose Fire NOC Optional

Pollution NOC

Choose Pollution NOC Optional

Retail Outlet Dealership Application

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