Partner with A One Gas for Gas Agency Dealership

1. PERSONAL INFORMATION

Name * (As per Aadhar)

Email Address *

Mobile No. *

City *

District

State *

2. CURRENT OCCUPATION

Type of Work

Firm Name

Nature of Business

3. APPLYING FOR

Investment

Investment Capacity

Land available for LPG Godown

Length (in meters)

Width (in meters)

Attach Documents (.PNG, .PDF, .JPG)

KYC Document (PAN)

Last Year ITR

Land Document

Lease

Photo of the Location

4. HOW DO YOU KNOW ABOUT A ONE GAS?

Source

5. REMARK (IF ANY)

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