Welcome to Atlas Battery

1.

Business Name

2.

Name of Dealer

C.N.I.C. No.

3.

Address

4.

Phone	Fax	Mobile

5.

Nature of Business

Battery Shop	Battery Shop + Electrical Services	Battery shop + Replating
Service Shop	Spare Parts Shop	Autos / Mechanical Works
Others

6.

Type of Business

	Sole Proprietorship		Partnership		Private Limited
	Others

7.

Business Related Information's

(A)	Type of Business Place		Shop	Office	Others
(B)	Business Place		Rented	Owned	Others
(C)	Approx. Investment of Business		Rs
		Bifurcation of Investment mentioned above
	Worth of Place Rs Worth of Stock Rs
	Worth of Decoration/Equipment's Rs
(D)	No of Manpower How many of them are employees

8.

What Brands are you dealing currently.Please mention Average Monthly Sale.

Brands
Avg. Sale

9.

Please fix your monthly target of AGS brands

	Units
1st Month
2nd Month
3rd Month

10.

Please fix your monthly target of AGS brands

Cheque of Rs.

Bank/Branch

11.

Payments Terms & Conditions

I/We solemnly undertake that I/We are willing to abide by the terms and conditions that are to be set / written in the
Dealership Agreement and any other rules and regulations the company may enforce from time ot time.
I/We also confirm that all the information's provided/written in this application form are correct.

12.

ABL Recommendations:

We have thoroughly assessed the subject applicant and recommend the party for appointment as an authorized dealer in our considered opinion , the party enjoys good reputation in the market and we believe that the said appointment will positively contribute towards sales promotion in the respective area.