8/8/2019 IGC Application Form

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8/8/2019 IGC Application Form

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Qualification:

Current Occupation: ______________________________________________

(ii). Second Person

Name

Father Name

Address:

Distt Pin

Code

Contact Phone No:

8/8/2019 IGC Application Form

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Qualification:

Current Occupation: ______________________________________________

(iii). Third Person

Name

Father Name

Address:

Distt Pin

Code

Contact Phone No:

8/8/2019 IGC Application Form

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Qualification:

Current Occupation: ______________________________________________

2. Business Experience (Provide all present and past involvements, if any)

Nature ofInvolvement(partner/

Directoretc.)

Extent ofInvolvement(Amt and /

or% of

capital

Name &styleofOrganizati

on

Turnover Products

Total Assets (Rest.) _____________________

3. How do you plan to finance the project?

Own Funds Rs._______________

Bank Loans Rs _______________

Others Rs. __________________

Total Rs. ____________________

4. Address of the Location, which is decided for Branch:

8/8/2019 IGC Application Form

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5. Proposed starting date of the Branch: _____________________________

I/We declare that I/We am/are a resident Indian/s and that all theparticulars and

information given in the Application Form are true correct and complete.They shall formthe basis on which IGC may decide to make me/us a Franchise Partner,Business Associate the right to reject any application without providingany reasons. Also IGC reserves the right to discontinue this arrangementat any point of time in case of default or any other reason that theCompany may deem fit.

TERMS AND CONDITIONS

1. Only Applications in the prescribed format will be considered.

2. Application must be in English and in BLOCK Letters.

3. Applications must be complete in every respect. Please write the Pin Code and STD

Code where required.

4. All applications received by us will be acknowledged within 7 days of receipt.

5. Selection of Partners will be on merit and first come first serve basis.

6. IGC reserves the right to scrutinize, review and reject any Applications. At its

discretion without assigning any reason.

7. IGC shall not be liable on account of any delay or loss of documents while in transit

through Postal/Courier services.

Place ______________

Date _______________ Signature