1. Name of the Applicant
2. Address
3. Phone
4. Email
5. Nature of the Business Enterprise (Proprietorship/Partnership/Limited/Pvt Ltd./Others)
6. Name of the Enterprise
7. Address of the Business Enterprise
8. Sales Tax / VAT Regn. No.
9. Name of the Proprietor / managing partner / MD / Director / Other Person to Contact
10. Contact No.
11. Email
12. Brief Description of the Present Business Activities
13. Infrastructure Facilities Available
14. Products Dealt
15 (i). Turnover (Approx.) - 2014-15
15 (ii). Turnover (Approx.) - 2015-16
16. Experience in Automobiles Business
17. Technical strength
18. Financial strength
19. Banking Assistance (Mention Name of the Bank that provides Financial Assistance)
20 (i). Marketing Strength - In Govt. Sector
20 (ii). Marketing Strength - In Private Sector
21. Whether interested in Dealership of E-Rikshaw ( Yes/No )
22. If Yes, mention name of the District of interest
23. Place where Dealership Office is proposed to be set up
24. Do you have required infrastructure, Manpower and Financial Strength to meet the Required Expenditure?
25. What kind of support do you need from us?
26. Choice of State
27. Choice of District
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