www.teslapowerusa.

com
powershop@teslapowerusa.com

TESLA POWER SHOP: APPLICATION FORM

First Name- Middle Name-

Last Name- Contact No.-

Auth. Person Name-

Gender- Date of Birth-

Email ID-

Address – Address -

PAN AADHAR CARD DETAILS. GSTIN

In which geographical areas do you currently In which geographical areas would you like to start this
operate your business? business?

Address:- Address:-

Career and Business History

From To Employer's or Business Name and Address

Business References
Name- Occupation-

Relationship- No. of years Acquaintance-

Address-

Contact No.-

Email ID-