Contact Details
First Name
Last Name
Date Of Birth (dd/mm/yy)
Age
Place of Birth
Father's Name & Occupation
Marital Status
Languages Known (use (,) for multiple entries)
To Speak
To Write
Address
Taluk/Tehsil
District
State
Pin
Telephone No.
Email id
Personal/Professional Qualification
Educational qualification
Computer literacy (Select your option)
Awareness
Working Knowledge
Expert
Previous Business Experience
Has previous business experience (Select your option)
Yes
No
1)Name of the brand/company dealt with
2)Years of association
3)Last financial year turnover
4)Model of the business
Retail
Distribution
5)Automotive allied business
Spares
Tyres
Batteries
Lubricants
You are interested in this new business proposal for
Growth opportunities
Diversification
Self employment
Brief description as to why you are looking to take this business proposal?
Business Plan
Do you have a showroom with 20ft frontage and min of 350 Sq ft space.
Yes
No
Showroom Address
Photograph of Showroom Space
Investment capability (Select your option)
above 5, 00,000
above 7, 00,000
Above 10, 00,000
Source of Capital
Self/ Borrowed
Self
Borrowed
In case of Borrowed capital value of loan to be sourced:
Collateral Security: Land /House /farm
Land
House
Farm
Name of the Banker with Address:
Time frame to start the Business (in days)
Location at which business will commence:
Reference
