Provincial Booking Point Registration Form
Name : Age :
Language : Id Proof: :
Current Occupation : Place of Work :
District : Provincial Booking Point for which cities/towns :
Proposed Business Location : :
Is the Store on a main road: Size of store front : ft. Total Store size : ft.
Tel. / Office : Mobile :
Work Experience
Row NumberPlace of WorkNo. of yearsDesignation / Category
If you already run a shop / showroom of your own for electronics related products:
Type of trained Staff No. of staff No. of year active Skill Level / Education
Sales & Front Office
Installation Technicians
Repair Technicians
Finance & Collection
Delivery / Transport
Stores Space available / Stock holding capability   
Remarks (any other information which is related to DTH & Dish TV)