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AUTOMOBILE DEALING (NEW/SECOND HAND)
REGISTRATION FORM

Any individual Peoples / Firms/Companies who want to Sale or Purchase or Rental any type of New/Second hand Automobiles. Please fill reg. form or Contact us.

Select your choice from these options :-
[ Purchase / Sale / Rental (Aw) / Rental(Want) ]
   
Specifications :
Name Of Product :
Make :
Model :
Color :
Mgf. Year :
Price :
Country /City :
Kms.Run
Type Of Fuel :
Other Specification:
Personal Details
Name / Company Name :
Occupation / Works
E-mail
Contact Address:
Telephone Number:
Mobile Number:
Your Comment/Requirements (Specify your needs/Facilities that you want to mention)
Referd By Name & Adress :
   
Declaration

I/We hereby declare the details given above by us are true to the best of our knowledge and belief. I/We hereby further declare that I /We will not claim any legal remedies as a matter of right at any time in future for the sincere efforts taken by PREM CONSULTANTS,KOTA (Raj.) for Sale Purchase Rental dealing. These particulars may be freely furnished to anyone interested. I/We will intimate as soon dealing process. I/We have read and understood the terms and conditions and have accepted the same. Therefore this form does not require my original signature for applying online.

PLACE:
DATE:
   
    
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