* denotes required fields.
*Location Applied For :
*Name of the Applicant :
*Address :
Contact No. :
*E-mail ID :
*Constitution :
Authorized Person's Name :
Designation :
CST No :
Present Business/Occupation :
*Present Business Status :
How Long in Business :
Present Business Facility :
(A) Showroom (in Sq. Ft.)
(B) Office (in Sq. Ft.)
(C) Go Down (in Sq. Ft.)
Manpower Strength :
(A) Sales & Marketing
(B) Service
(C) Office
(D) Go Down

Present Associated With :
No. Company Name How Long With Company Yearly Turnover

Total Yearly Turnover :
Present Property (Asset) Value :
*How Much Sales You Expected For DG Set In Your Region :
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