intelizon

OREATING THB WORLO OrOART BNEROY

BUSINESS ASSOCIATE EVALUATION FORM

Business Associate's Information

1) Name of the contact Person 8/Wesf' Rouf
Mobile Number 9 r6) C3 sU2

2) Name of the fim (1f any): NA

3 Fim establishment date:
41 office Address: 9-Ralilw a1 hdi Pad
NeAT Ko AMdRK .1.1 to Mo. 19
oS-BARGARM, 605sMa 6 8 2
5 Office Tel. no. 9&611 S3 sy2
6 G.S.T. No.
NA
TIN No.
Constitution of firm
(Please tick appropriate box) Proprietorship
Partnership
Private ltd.
UPublic Ltd.
B] Business Information
NA (START. )
Business Activities: OTrading Manufacturing
Experience in solar energy sectòr- N
Product Handled Authorized Distributership
A)A
.
NA

ii. NA
Trading in brands Wholesaler ORetailer
Brands handled NA
i. NA
ii. NA
Average sales/month N.A
6. Area of operation (District/City/Town) NA
NA

ii. NA
intelizon
OREATING THE wORLD
oFOMART BNERy

7. Segments handled
Corporate with CSR funds
3.
Builders/architects NA
Gram
4.
panchayat/district officers
Military/railways/public sector

Farmhouses/schools/colleges/ho
spltals/banks etc
6. Government rural and/or
renewable agencies
7 Solar developers
C Facilities Available for Business
|1.0ffice space: 100 Sq.ft 2.Installation person nos

3.Warehouse: 0 Sq.ft 4.Sales person nos.

5.Own Delivery vehicle : nos 6. Product Space display 32_Sqt

D] Financial Information A
Annual business turnover for
|Last 3 years (Rs.in Lakhs) First year
Second year
Third Year
Name & Address of banker
A
3. Bank overdraft limit with banker's name
NA
Own investments in business:
NA
E Business Projections
Expected sales volume: first six months: 3 60 8r0
Second six months: 5, 80, 6ro
Second Year. 8,80, 5U0
2 Investment plan in Products (Rs. in
Lakhs) Sahs
3 Payment terms Advance NA
Business Associate's SIGNATURE & STAMP For Intelizon's Use Only
Check List (Tick mark on the collected
documents)
1. Aadhar Card
2. PAN Card
3 Signed Agreement copy
4. Passport size photo
5. Cancelled cheque
6. Security Deposit of INR 50,000
Place: Ba
Date: ,10 202 TSM Name 2itWneth py
SO Name