d application

ACER ENGINEERS PRIVATE LIMITED# 1025 B, Road 45, Jubilee Hills, Hyd 33Tel: 040 23550303, 23600211 Fax: 23554957 eail: i!"o#bibo$a%e&'(oApplication for Appointment of an Authorized Dealer/DistributorDealership seeking for: TOWNS/ CT! DST"CT #$ Name of the Applicant%$Contact AddressTelephone &'ith STD Code()obile*a+,mail-$Status of proposed Authorized dealer/ distributor)Ti(* $+i(+ e,e& is a--li(able./. 0ole 1&o-&ie%o&B. 1a&%!e&s+i-2. Hi!du 3!di,ided Faily4. 1&i,a%e 5ii%ed (o-a!y6. 7!di,iduals see*i!8 deale&s+i-.$ !ear of establishment/$n case of Sole 0roprietor gi1e the Name2 "esidential Address 'ith contact information3$n case of0artnership4 5ist the Names 2 "esidential Addresses of each partner 'ith contact information)6!(lose %+e de%ails i! a se-a&a%e s+ee%.6$n case of 7indu undi1ided famil8 5ist the Name 4 "esidential Address and ages of the kartaandall other members of the undi1ided famil8)6!(lose %+e de%ails i! a se-a&a%e s+ee%.4o( 74: /6159:;9010994/2o!"ide!%ial 1a8e 1 o" 4