Franchisee/Business Partner

First Name*		Last name*
Telephone*		Email*
Address*
City*		District
Pincode		State	Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland New Delhi Orissa Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttaranchal Uttar Pradesh West Bengal Others
Applying For*	FranchiseBusiness Partner	Current Business*
Name Of The Firm*
Type Of Firm*	PrivatePartnershipPublicGovt./Semi.Govt.
Date Established		No. Of Employees
Turnover Of The Company Per Annum		VAT Number
Excise Number		Solvent Control Registration Number
Technical Infrastructure		Go Down / Storage Facilities
Any Previous Experience In Petroleum Industry*		Experience in any other Retail Sales*
Amount You are willing to Invest in the Business*	Rs 2 to 10 Lakhs10 to 50 Lakhsmore than 50 Lakhs
I Agree The Following Terms and Conditions
1) The Data asked for in this form is purley to evaluate your "Application form" for opening a BP/Franchise for Petroleum Bazaar.com(I) Pvt.Ltd.
2) Submission of this form does not guarantee award of  Business Partner/Franchisee.
3) Forms not completed  in all respects may be rejected.
4) The details provided by you will be kept confidential.
5) Please go through the business opportunities available to you as a business partner/Franchisee of the company.These opportunities and offer may change from
time to time due to change in industry/company/government guideline,requirements,business process.