Pre qualification form for appointment as authorised channel

partner

Please fill in the document carefully and attach any additional document to support the application.

Name of agency :

Name of applicant :

Status : NRI registered firm/ company

: Foreign National

: Private Limited Company

: Other (Please specify)

PAN number of the agency :

(Attach a copy)

Service tax/ Tax residency no. of the agency :

(Attach a copy)

Address :

Business Profile of agency :

(Enclose a copy of the profile)

Prior experience in selling real estate : Yes / No

If Yes, Please state how many years :

Projects sold :

:
If any other information you believe would be relevant to the consideration of your application,
please attach a copy

I agree to the terms & conditions for appointment as an authorised channel partner for the
Dudhwala group.

For,

Name of Agency :

Signature :

Name :