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    Application Form For: Speedwave Fuel PVT LTD - Fame Biofuels PVT LTD

    Uploaded by

    yogesh arya
    This document is an application form for a retail outlet or mobile retail outlet. It requests personal information about the main applicant and co-applicant such as name, date of birth, contact details, and address. It also asks for educational background, current occupation and business details, proposed business details, financial details, and details about the proposed premises. The applicant must agree to terms and conditions including paying application, deposit, and security fees. Required documentation includes PAN, Aadhar, photos, land documents, bank statements, and more.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form For: Speedwave Fuel PVT LTD - Fame Biofuels PVT LTD

    Uploaded by

    yogesh arya
    34 views4 pages
    This document is an application form for a retail outlet or mobile retail outlet. It requests personal information about the main applicant and co-applicant such as name, date of birth, contact details, and address. It also asks for educational background, current occupation and business details, proposed business details, financial details, and details about the proposed premises. The applicant must agree to terms and conditions including paying application, deposit, and security fees. Required documentation includes PAN, Aadhar, photos, land documents, bank statements, and more.

    Original Description:

    for Frenches

    Original Title

    1618556201411645344

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    This document is an application form for a retail outlet or mobile retail outlet. It requests personal information about the main applicant and co-applicant such as name, date of birth, contact details, and address. It also asks for educational background, current occupation and business details, proposed business details, financial details, and details about the proposed premises. The applicant must agree to terms and conditions including paying application, deposit, and security fees. Required documentation includes PAN, Aadhar, photos, land documents, bank statements, and more.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views4 pages

    Application Form For: Speedwave Fuel PVT LTD - Fame Biofuels PVT LTD

    Uploaded by

    yogesh arya
    This document is an application form for a retail outlet or mobile retail outlet. It requests personal information about the main applicant and co-applicant such as name, date of birth, contact details, and address. It also asks for educational background, current occupation and business details, proposed business details, financial details, and details about the proposed premises. The applicant must agree to terms and conditions including paying application, deposit, and security fees. Required documentation includes PAN, Aadhar, photos, land documents, bank statements, and more.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Application Form for

    Retail Outlet/Mobile Retail Outlet

    Reg. No. :

    State :

    District :

    Tehsil :

    City /Vill.:

    Misc. :

    Speedwave Fuel Pvt Ltd | Fame Biofuels Pvt Ltd


    Registered Off: 327-328 Manjusar GIDC, Near Bombardiar Circle, Savli, Vadodara.
    10-Stilt Floor, Umaid Heritage, Defence Lab Road, Ratanada,
    Corporate Off:
    Jodhpur- 342011 (Rajasthan)
    +91-291-2514454 | connect@speedwavefuel.com | www.speedwavefuel.com
    Application No:

    Personal Information

    Main Applicant

    Title ___________________________________________

    Name __________________________________________

    Date of Birth _____________________________________

    Contact Info.

    Mobile ___________________ Whatsapp No. __________________ Landline _________________

    Email ____________________________________________________________________________

    Address __________________________________________________________________________

    City / Vill. _______________________ Teh. ____________________ Dist.______________________

    State _______________________________ Pin-code _____________________________________

    Co-Applicant

    Title ___________________________________________

    Name __________________________________________

    Date of Birth _____________________________________

    Contact Info.

    Mobile ___________________ Whatsapp No. __________________ Landline _________________

    Email ____________________________________________________________________________

    Address __________________________________________________________________________

    City / Vill. _______________________ Teh. ____________________ Dist.______________________

    State _______________________________ Pin-code _____________________________________

    Educational Background

    Educational and professional qualifications of main applicant and other partners / directors
    Name Highest Institution Year of Total Work
    Degree Passing Experience

    Signature of Applicant ______________________


    Occupation / Business Details

    Current Occupation : _________________________________________________________

    Current Business : _________________________________________________________

    Name of Firm : _________________________________________________________

    Type of Firm : Proprietorship Partnership Pvt Ltd Public Ltd

    Experience of Fuel Pump : Yes No | If yes Details HSD Biodiesel


    If yes Location: _____________________________________________

    No. of Employees : _________________________________________________________

    How long in this Business : _________________________________________________________

    Proposed Business

    Name of the proposed company : ___________________________________________________

    Nature of the proposed company : Proprietorship Partnership Pvt Ltd Public Ltd

    Existing / New : ___________________________________________________

    Details of Premises Retail Outlet Mobile Retail Outlet

    Address : ___________________________________________________

    ___________________________________________________

    NH No./ SH No./ Maj Distt Rd No. : ___________________________________________________

    Distance from Nearest City / Town : ___________________________________________________

    Description of Nearest Km Stone : ___________________________________________________

    Distance from Nearest Km stone : ___________________________________________________

    Nearest Pump details : Distance ________ Company Name______________________

    Plot area (sq. ft.) : ___________________________________________________

    Ownership status (Owned / Leased) : ___________________________________________________

    Frontage (feet) : ___________________________________________________

    Status of Land : Agriculture Non-Agriculture

    Power connection readily available : Yes No

    Water connection readily available : Yes No

    Any other landmark nearby : ___________________________________________________


    Signature of Applicant ______________________
    Activities around the proposed site

    What activities exist adjacent to the : ___________________________________________________


    proposed site? 500 Mts on both sides
    Please describe briefly ___________________________________________________

    Financial Details

    Name of your Bank : ___________________________________________________

    Bank Branch : ___________________________________________________

    Address : ___________________________________________________

    Account Type : ___________________________________________________

    Account Number : ___________________________________________________

    Amount you are willing to invest : ___________________________________________________

    Sources of Funds : Own ____________________ Loan __________________

    Terms & Conditions

    1. The final selection of applicant is purely at the discretion of Fame Biofuels Pvt Ltd / SpeedWave Fuel
    Pvt Ltd management. Company shall not give any reason(s) or explanation for selection or rejection
    of particular applicant.
    2. The final selected applicant will be given a letter stating "Letter of Intent (LOI)" for appointment as
    retailer subject to compliance of terms & conditions mentioned in letter.
    3. Application fee is Rs. 6000/- (Including GST) per application which is non-refundable.
    4. An amount of Rs.3,00,000/- (Rupees Three lakhs only) must be deposited by the applicant as soon
    as the application is accepted as non-refundable deposit by way of NEFT / RTGS / online payment.
    5. An amount of Rs.2,00,000/- (Rupees Two lakhs only) must be deposited by the applicant within
    timelines mentioned in the LOI as refundable security deposit by way of NEFT / RTGS / online payment
    in favor of "Fame Biofuels Pvt Ltd"
    6. In case the successful applicant withdraws his candidature or fails to submit the remaining Security
    Deposit within specified timeline or withdraws his candidature or fails to submit the documents related
    to proposed premises, company shall forfeit the entire deposit held with it.
    7. Subject to Jodhpur Jurisdiction only.

    Documentation Pan (Personal) Adhar Card Photo(2) Land Documents Pan (Firm)

    Bank Statement (6Months) ITR (2Years) Vehicle Documents GST

    Declaration

    I/We accept that the decision of the Board of Directors of Fame Biofuels Pvt Ltd / SpeedWave Fuel Pvt Ltd
    as final and binding. I/We fully understand that, in case any information provided by me/us herein is found
    to be false or incorrect company reserves the right to reject the application or reverse any decision taken.
    I/We agree with the above terms & conditions.

    Signature : _______________________________ Date __________________________

    Name : _______________________________ Status: ________________________

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