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    Dealer Type
    (Please Tick “ü”)
    User Name (For Goeasy Only) Regional Dealer Account:

    Sub-dealer Account (selling scooter):

    Swapping Cabinet Dealer Account (swapping battery):
    Company Details
    Company Name
    Company Address
    Postcode
    GST No.
    TAN No.
    PAN No.
    CIN No.
    Bank Details Account Name:
    Bank Name:
    Bank Account No. :
    IFSC Code:
    Branch:
    Showroom Details
    Showroom Address
    Longitude
    Latitude
    Personal Details
    Name
    Gender
    Aadhaar No.
    PAN No.
    Mobile No.
    Home Address
    Contract No.

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    HOBEN
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