Apply For Dealership

First Name

Last Name

Email

Phone No.

Company Name

Address

City Applied For

State Applied For

Do you currently own or operate an EV/ Automobile dealership?

Yes No

If yes, please mention the brand(s) and number of years in operation.

Current business turnover (approx.)

Why are you interested in partnering with Jindal Mobilitric?

Proposed amount to be invested

What is your proposed dealership premises?

Owned Leased Rented Not Finalized

Upload business profile / company brochure (Optional file upload)

Any additional message or enquiry?

Note: By clicking “Submit”, I give my consent to Jindal Mobilitric Private Limited and its authorised service providers to hold my personal data and communicate with me by e-mail, WhatsApp, SMS, or phone call for notification purposes.

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