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New Station Survey Form
Sales Manager Name
*
Legal Name
*
Trade Name (Brand)
*
GST Identification Number
Upload GST Certificate
Click to choose a file or drag here
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
*
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
B
Wi-Fi
Individual Charger Cost
*
No. of EV Chargers Sold
*
No. of EV Chargers to be billed
*
CMS Charges per unit electricity
*
Payment Terms
*
Payment Terms
A
EMI
B
One Time
Payment Schedule (If Payment is After Installation)
*
Submit