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New Station Survey Form

Sales Manager Name

Deal Type

Deal Type
A
B

Charger Type

Add more Charger Types

Add more Charger Types
A
B

Legal Name

Trade Name (Brand)

Does the Station Have GST

Does the Station Have GST
A
B

Brand Registered Address

EV Charging Station Address

EV Charging Station GPS Location

Owner Name

Owner Aadhar Card Number

Upload Aadhar Card Front

Upload Aadhar Card Back

Owner PAN Number

Upload PAN Card

Owner Phone Number

Owner Email

Owner 2 Name

Owner 2 Phone Number

Owner 2 Email

Bank Name

Bank Account Number

Bank IFSC Code

Upload Cancelled Cheque

Network Connectivity Confirmation

For Sim card, ₹600 + 18% GST per SIM per year.
Network Connectivity Confirmation
A
Network Connectivity Confirmation
B

CMS Charges per unit electricity

Franchisee Fee

Payment Terms

Payment Terms
A
Payment Terms
B

Payment Schedule (If Payment is After Installation)

Upload Advance Payment Receipt