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APPLICATION FORM
(Dealership)

A) NATURE & COMPASITION OF FIRM

1. Name and address of

Proposed Establishment : ______________________________________________
______________________________________________

2. Telephone No. : Off. ______________________________________________

Resi ______________________________________________
Fax ______________________________________________
3. Public ltd./Pvt. Ltd./
Partnership/Proprietor : ______________________________________________

4. CST/TIN no. : ______________________________________________

5. VAT no. : ______________________________________________

6. Details of Directors/Partners/Proprietor/as applicable

Sr. Name Age Education Signature
no. Qualification
1
2
3

7. Person to be contacted for discussion & communication: _______________________________________________

a) Address for correspondence (Residential):
Contact no.:
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________

b) TAX Rates:
i) Rate of sales tax. ________________________________________________
ii) Octroi rate/other taxes applicable ________________________________________________
________________________________________________

c) Details of present business activities:

(i) In automobile/Electrical Vehicles line if any: ________________________________________________
___________________________________________________________________________________________________________________
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Sr. No. of automobile Since Details pertaining to previous financial Name of the person
no. dealership if any when year handling the
dealership
Annual Annual Annual
vehicle sales spare parts labor
turnover turnover turnover
(Rs.) (Rs.)

(ii) Other than automobiles/electrical Vehicles:

Sr. Nature of business Since when Present turnover Person handling this
no. business
1
2

d) Market information:

1. Name of the town nearest railway station

2. Population of the town

e) Estimated sales:
First year Second year
BOV BOV
Vehicle sales (no.)
Spare parts sales (Rs.)
LTO from service (Rs.)
Please specify in details the basis of the above forecast:
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

Mention your plan to promote the sales of our product:

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
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f) Showroom and workshop facilities proposed if any:

Existing Proposed for Kinetic Green Status (please tick)

Facilities
Showroom Own/Rental/To be
space area procured
(Dimensions)
Frontage
Workshop Own/Rental/ to be
space procured
coverage
area
(Dimensions)
open areas
Sales staff Available/to be
appointed
Workshop Available/to be
staff appointed
Special
service
facilities if
any.

g) Total investment you will be able to make:

Showroom Workshop Tools Spares stock Working capital

Stocks Customer finance

h) Bank reference:
Financial status:
Name & Add. Of bankers Details of the facilities Available Proposed

I) Name & profile of the person, who will run the business on day to day basis.
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
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J) Any Further Detail If Desired:
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________

I/We hereby confirm that the information given above is true and correct to the best of my/our
knowledge and that KINETIC GREEN ENERGY & POWER SOLUTION LTD. will not be responsible for
any loss. (Actual or notional) of and expenditure (capital or otherwise) incurred by me/us in
connection with this application whether it is accepted or not.

NAME ____________________________________________________________

SIGNATURE ____________________________________________________________

DESIGNATION ____________________________________________________________

DATE ____________________________________________________________

Attach additional sheets of same size if the relevant information cannot be fitted in the space provided
for in the form.

APPLICATION RECEIVED INCOMPLETE AND/OR WITHOUT BLUEPRINT PHOTOGRAPHS AND CITY

MAP ARE TO BE REJECTED.

ENCLOUSERS
1. Blueprints or the facilities provided.

2. Cabinet size photograph of showroom and workshop as follows.

a) Photographs showing exterior and interior view.
b) Approach road to showroom and also to workshop.
c) Photographs of the surrounding area of the proposed showroom.
3. Partnership deed (Existing as- well as proposed if available.) Articles of memorandum
4. Bank Reference Letter
5. City Map showing proposed location & other automobile BOV dealership in the city
6. Last 3 years balance sheet of the company in which this business with operate