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Application Form FAQ Contact
Application for :
Town :
Tehsil :
District :
State :
Pin Code :
Human Population of the town :
Title
Name of principle applicant :
Qualification :
Age:
Business Experience (Years) :
Contact details
Telephone (Fixed Line) :
Office :
-
Residence :
-
Mobile No. : + 91
E-Mail . :
Postal address
Address :
Town :
Tehsil :
Pin Code :
District :
State :
Family Background
Family Members :
(Father / Brothers / Uncles / Cousins)
Businesses in family :
Name of the firm :
Type of Business / Annual turnover
Business 1 :
Business 2 :
Business 3 :
Combined Turnover (Rs in lac) : :
In case of any exsiting automobile business, please give details and the nature of business :
In case of any association with Bajaj Auto Ltd please give details and the nature of business :
Main dealer (Name & town) :
ASC / RSO / YES (Name & Town) :
Vendor (Name & Town):
Role / Position of Applicant in current business :
Applicant’s special achievements in current business:
Composition of proposed ASC:
Working capital arrangement for proposed ASC
Own Funds (Rs in lac) :
Through Bank (Rs in lac) :
Industry Details:
Bajaj 2W population in the town:
All 2W population in the town:
Location of proposed site :
Proposed site :
Status or condition of proposed property :
Area in sq.mtr.
   
   
 
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