Please fill all Yellow Color Cell - Whichever is applicable

First Name: Age : Email ID: Contact Number:

India Yamaha Motors Web Enquire Form for Channel Par

Amarjit Singh
Gender Yrs karandeep234@gmail.com 210 9 9 Male Marital Status 6 Middle Name Married Education

Land Line (STD) Cellular Existing Contact Address: Building No / Shop No Apartment / Society Name Road Name Area / Locality Town State

Cellular

Near Soam Kariana Store Barara Haryana Manufacturing Real estate Current Profession (Can Choose Multiple Option) Farmer a Automobile Dlr Details of Current Occupation: Existing Firm Name S. No. 1 M/s Amarjit Singh 2 M/s 3 M/s 4 M/s 5 M/s Group Annual Income /Turnover

Retail Outlet Salaried

District Professional a Others

Nature Of Business Land Lord

Applicant Share H

in Lakhs

Group Annual Profits

in Lakhs Barara

APPLICATION FOR
Type of outlet MAIN DEALERSHIP Town Applied:
Investment Plan (Without land and building) Proposed Constitution of Firm Share Holder Name (First Name) Share Holder Name (Surname)

50

Lakhs

Source of Investment
Other Source of Investment

Gender

Age

S. No. 1 2 3 4 Barara

Location Preferred

Site Available Yes

Frontage (Ft) 47

Area (Sqft) 55

Brief Description;

WHY YAMAHA

rm for Channel Partners

Surname Education Extension

Shah

Pin Code Ambala Professional Others Trader Pls. Specify

Consultant

Applicant Share Holding

Type Of Firm Sole Prop.

Annual Turnover 6,20,000

in Lakhs

Group Net Worth

in Lakhs Haryana

State
Individual

nvestment

rce of Investment

Individual Investment

Share Holding (%age) Relationship With Main Applicant

Site Ownership Type Leased

Building Status Green Field (Open Land)