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New Station Survey Form
Sales Manager Name
*
Deal Type
*
Deal Type
A
Charger Purchase
B
Charger Rent
Charger Type
*
Add more Charger Types
*
Add more Charger Types
A
Yes
B
No
Legal Name
*
Trade Name (Brand)
*
Does the Station Have GST
*
Does the Station Have GST
A
Yes
B
No
Brand Registered Address
*
EV Charging Station Address
*
EV Charging Station GPS Location
*
Owner Name
*
Owner Aadhar Card Number
*
Upload Aadhar Card Front
Click to choose a file or drag here
Upload Aadhar Card Back
Click to choose a file or drag here
Owner PAN Number
*
Upload PAN Card
Click to choose a file or drag here
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
Click to choose a file or drag here
Network Connectivity Confirmation
*
For Sim card, ₹600 + 18% GST per SIM per year.
Network Connectivity Confirmation
A
Sim
Network Connectivity Confirmation
B
Wi-Fi
CMS Charges per unit electricity
*
Franchisee Fee
*
Payment Terms
*
Payment Terms
A
EMI
Payment Terms
B
One Time
Payment Schedule (If Payment is After Installation)
*
Upload Advance Payment Receipt
*
Click to choose a file or drag here
Submit