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APPLICATION FORM

NAME: Praveen M. Gangarde

ADDRESS:'Mandiyali' Laxminagar, Shrigonda, Ahmednagar

CITY/TOWN/VILLEGE:Shrigonda,Ahmednagar

AREA: Laxminagar

STREET: Mandavgan road

PIN NO: 413701

PHONE NUMBER:02487-222649

MOBILE NUMBER:9404249798

PRESENT BUSINESS DETAILS: (1) I am currently acting as Ahmednagar district


subfranchise by Livewire Telecom Pvt Ltd

(2)presenltly the product is BSNL erecharge & the


company is in negotiation with Tata indicom

REFERENCE FROM/BY : Internate

YEARLY TURNOVER OF YOUR BUSINESS: Daily around 2-2.5 lakhs.

TOTAL NUMBERS OF EMPLOYEES: 6 Distributors and around 350 retailes. The


business is in progress. I set target of around 1800-2000 retailers in my district

AREA INTERESTED IN:First I need to know options you offer besides my territory

PRODUCT KNOLODGE: Good as fas as erecharge is concerned

REMARK’S:Need to know much about your product, offers, commission,


procedure etc
DATE AND TIME 14/04/2010
SIGNATURE: P.M. Gangarde

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