Application form for Dealership

SECTION A

ONLY FOR OFFICIAL USE

PERSONAL INFORMATION

SECTION B

CONTACT DETAILS OF ATLEAST ONE PERSON TO BE APPROACHED IN CASE OF NO CONTACT OR EMERGENCY

EDUCATIONAL QUALIFICATION

BUSINESS ADDRESS OF THE FIRM

PERSON TO BE CONTACTED IN YOUR ABSENCE.

SITE / BUSINESS PROPOSAL

REQUIRED DIMENSION FOR ESTABLISHING FUEL STATION IS 120 * 120 FEETS

PLEASE ENCLOSE THE COPIES OF THE RELEVANT DOCUMENTS

DIMENSION
X
DETAILS OF FOUR SURROUNDINGS

METER / KM

METER / KM

SITE SITUATED ON

ESTIMATED NUMBER OF PUBLIC TRANSPORT VEHICLES – MAGIC , MINI BUS, BUS BEING OPERATED IN YOUR AREA.

ESTIMATED FLOW OF COMMERCIAL DIESEL VEHICLES FROM YOUR PROPOSED LAND/SITE.

HOW MUCH SALE YOU EXPECT TO GENERATE FROM YOUR PROPOSED SITE.

IN LITRES

IN LITRES

IN LITRES

IN LITRES