Dealership :
Business Associate Application Form
Select Business* Select Category *
Region* Branch*
Area Applied for* Company/Firm Name*
Full Name :* Date Of Birth : *
(Enter Date DD/MM/YYYY)
Contact No. :* Mobile No. : *
E-mail :* Website if any : *
Registerd Office Address :* Business Operation Address : *
Projected Business Turnover with Intex (in Rs.)
1st Quarter Rs :* 2nd Quarter Rs : *
3rd Quarter Rs :* 4th Quarter Rs : *
Company Status :*
Business Commencement Date : * Tin No. :*
Central Sales Tax No : * Date: :*
Local Sales Tax No : * Date: :*
Banker's Details
Name:* : * Address: :*
Contact No.* :*