(A GUINNESS RECORD HOLDER COMPANY)

  
 Business Details
*Full Name : 
  
Company Name : 
  
Address : 
  
City : 
  
Pincode : 
  
State : 
  
Country : 
  
* Phone : 
   -
Fax : 
   -
Mobile : 
  
* Email : 
  
Web : 
  
Type of Current Business : 
  
Type of Firm: 
   -
Number of Years in Current Business : 
  
 Annual Turnover for last 3 years (In Laks) :
Year 1 : 
  
Year 2 : 
  
Year 3 : 
  
Banker Name : 
  
Banker Address : 
  
PAN No. : 
  
TIN No. : 
  
Date : 
 
CST No. : 
  
Date : 
  
   
 Other Details
Have you previously run a Dealership/Franchisee business : 
No
 If Yes, provide the following details :
Company Name : 
  
Type of Business (Industry) : 
  
Location (Town) : 
  
Brand Associated With (Franchisor) : 
  
 Dealership Related Details
Location Interested for the Showroom (Town Name) : 
  
Do you have an owned or a rented showroom space? : 
No
Rented
If yes specify area (Sq.Ft.) : 
  
If Rented, specify rent paid (Rs./Month) : 
  
Please mention Frontage (Ft.) : 
  
Address : 
  
Near by Prominent Landmark : 
  
City : 
  
Pincode : 
  
State : 
    
Interested to be Distributor for surrounding area : 
No
If Yes, provide the area details : 
  

 Indicative Investments that you can make (In Laks): 
Towards Showroom : 
  
Towards Stock & Spare : 
  
Investment Source : 
  
 What is your estimate of GPS SURVEILLANCE EQUIPMENTS sales in your city (Units/Months) :
GPS : 
  
SURVEILLANCE EQUIPMENTS : 
  
HIDDEN CAMERAS : 
  
E-Bike : 
  
Name Other Security Company at Proposed Location : 
  
Any other relevant info that you may want to share with us :