PGEIL - Partner Enquiry

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1. PERSONAL INFORMATION

naming_series

lead_owner

status

lead_name

email_id

mobile_no

lead_city

lead_district

lead_state
2. CURRENT OCCUPATION

type_of_work

nature_of_business

firm_name
3. APPLYING FOR

industry

channel_investment

super_stockist_investment

dealership_investment

land_availability

land_availability

length_mtrs

width_mtrs
Attach Documents (.PNG, .PDF, .JPG)
attachment_1
attachment_2
attachment_3
attachment_4
4. HOW DO YOU KNOW ABOUT PETROGAS?

source
5. REMARK (IF ANY)

notes

title

Submitted

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