WelCome To Nexenlubes

User profile form requirement

Name of Dealer:

Email Id:

Contact Number:

GST No:

Bank Name:

Account Type:

Address:

Contact Person:

Date of Birth:

Pan Card No:

Account No:

Shop Closed On:

Cheque Dishonored Charges: 500/-

Note :

1) BILL SHOULD BE ACKNOWLEDGE PROPERLY WITH FULL SIGNATURE, NAME, CONTACT NO. AND STAMP OF THE SHOP.

2) PAYMENT SHOULD BE BILL TO BILL NO PART PAYMENT WILL BE ENTERTAINED….

Documents Submitted :

a) Shop Act License Xerox :

c) GST Registration Certificate Xerox :

e) One Photo Graph :

b) Pan Card / Driving License Xerox (photo id) :

d) Two Signed Cheque Leaf :

Get In Touch

Contact Info

+91 8308 799 541

info@nexenlubes.com

customercare@nexenlubes.com

Survey No.72/A,near anand darbar,beside anand engineering, katraj-dattanagar road Pune, Maharashtra. Pin. 411046