Retail Development Lead Assessment Form
Partner / Retailer Information
Name of Partner / Retailer
City / NH / Motorway / PH
Email Address
Mobile Number
Land Google Coordinates
GPS Coordinates
Land Details
Plot Size in Kanal
Front
Back
Left Side
Right Side
Business Details
Experience in Oil Sector
Present Business
Business Type
Oil Industry
CNG/LPG
Transportation
Construction
Politics
Other
In Case of Oil Pump Experience
Site Name
Location & City
Brand
Current Volumes
How did you first hear about HTL ZIC Petroleum?
What interests you in getting linked to HTL ZIC as its dealer?
Note: Any false information provided can lead to disqualification of the applicant.
Submit
