Candes Technology Pvt. Ltd.
ASP Application Form
Date: ________________
From, ________________________________________
_____________________________________________
_____________________________________________
Mobile No: ___________________________________
Email id: _____________________________________
Affix photo of the Prop / Partner
To,
Candes Technology Pvt. Ltd.
New Delhi - 110039
Dear Sir,
Sub: Application for the Authorized Service Center of Candes at: ____________________
I / We understand that your company is considering appointing an authorized service center at
____________________________. We have the required expertise in Customer Care and keen
to become the ASP of your company. Kindly consider my/our application. We will set up the
required infrastructure at our Service Centre to meet out your expectations & I am willing to
pay refundable security deposit of Rs. __________________ towards the same.
Detailed information about my Service Center given in attached sheets.
Thanking you
Name:
Designation & Signature
Please take First Page Print out on your firm letter head.
Details of the Firm / Service Center
1) Type of Firm: Proprietary / Partnership 2) Established on _____________________
3) Firm / Service Center Name: ___________________________________________________
4) Firm Correspondence Address: _________________________________________________
_____________________________________________________________________________
5) Contact No: ____________________ 6) Email ID: __________________________________
7) Proprietor / Partner’s Detail: -
SR. Proprietor/ PARTNER’S NAME CONTACT NUMBER AADHAR CARD NUMBER EMAIL ID
NO.
A
B
C
D
8) Proprietor/ Partner’s Complete Residential Address:
A. ____________________________________________________________________________________
B. ____________________________________________________________________________________
C. ____________________________________________________________________________________
D. ____________________________________________________________________________________
9) Office Space at Service Center (in SFT): ______________________________ (Rental/Own)
10) Agreement Period: _________________ (Including Reception, Workshop, Store & Tech Assembly area)
11) PAN No.: ___________________ (Proprietor / Firm) 12) G S T Number: __________________
13) Bank Name: _________________________ 14) Branch: ____________________________
15) Account No: ________________________ 16) IFSC Code: __________________________
17) Account Holder Name: ______________________________________________________
18) Name of Other Brand Service handling:
__________________________________________________________________________________________________
19) Territory covered: (Name of District in which you will Provide Service:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
20) Serviceable Pin Code - _____________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
21) Expertise in Demo, Installation & Repair of:
AC (Split & Window) Installation, Repair & Gas Charging
CE (LED, Speaker & Audio) Installation & Repair
Washing Machine (Semi & Fully Auto) Installation & Repair
Refrigerator Installation, Repair & Gas Charging
Small Home Appliances (All Product)
Air Purifier / Water (RO) Installation & Repair
Gas Stove / Chimney Installation & Repair
Geyser Installation & Repair
Home Automation Camera, CC TV & VDP Installation & Repair
Mobile Service
Laptop Service
Battery Services
22) Current Staff Details:
LED Installation Team : ______________ LED Repair Team : __________________
AC Installation Team : ______________ AC Repair Team : __________________
HA Technician : ______________ SHA Technician : __________________
Kitchen Appliances : ______________ RO Technician : __________________
Electrical Engineer : ______________ Other Engineer : __________________
Helper : ______________ Support staff : __________________
23) Computer Availability : _____________
24) Broadband Connection : _____________
25) Printer with Scanner : _____________
26) Technician Detail’s:
SR. ENGINEERS NAME CONTACT NUMBER AADHAR CARD NUMBER EMAIL ID SKILL SET
NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Date:
Place: Signature of the Proprietor / Partner with seal
________________________________________________________________________________________________
Documents Photocopy need to Attach with Application
1. GST Certificate
2. PAN Card
3. Cancel Cheque
4. Proprietor/ Partners Aadhar Card
5. Proprietor/ Partners PAN Card
6. Proprietor/ Partners Driver License
7. Proprietor/ Partners Address Proof
8. Firm Address Proof
9. Security Transfer Proof
10. Firm Letter Head
11. Partnership Dead
First share scan copy of above document with Application Form.
After confirmation Dispatch Hard copy of Application Form with Required Document
Photocopy by courier.
