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PREM CONSULTANTS
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PRODUCT 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 Products. 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 :
Other Specification:
Available Spares
   
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)
   
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 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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