Name of the applicant

Applicant's Email ID

Applicant's mobile number

Applicant's age
Under 25
25 - 29
30 - 39
40+

Applicant's Educational Qualification
Graducation/Diploma
Post Graducation
Other

Are You Currently involved in any other business*
Yes
No

Since when are you running your current business?
0
1 - 3
4 - 7
7+

What are the type of business are you involved in?
Automatic
Technology
Retail/Trading
Other

What is the Civil Score of your Current business?
Not Available
1 - 3
4 - 5
6 - 8
9 - 10

What is your preferred city for retail partnership

What is the approximate amount you are willing to invest in the year 24 - 25(in cr.) 1 - 2 cr
3 - 5 cr
5 cr+

From the total amount, approximately what percentage of your own funds will you investing (in cr) 80%+
60% - 80%
40% - 60%
less than 40%

In which State you are opening the dealership

What's your ownership over the proposed location?
Own Property
Leased
Not Finalized Yet