Become a Dealer - THE NEXT GEN VIC PTY LTD

1

Business Identity & Legal Verification

ABN / ACN verification required

Legal Registered Entity Name *

Trading Name / Business Name (DBA)

Australian Business Number (ABN) *

Australian Company Number (ACN)

Business Entity Type *

Private Limited Company (Pty Ltd) Sole Trader Partnership

Registered for GST? *

Yes No

Years in Active Operation

2

Physical Premises & Location Details

Used for dealer locator listing and route planning

Street Address *

Suburb *

State *

Postcode *

Premises Status *

Lease Expiry Date (if applicable)

3

Primary Contact & Key Management

Main point of contact for trade accounts

Primary Contact Full Name *

Designation / Role *

Direct Mobile Number *

Business Landline

Official Business Email *

Business Website / Social Media Link

4

Operational Capacity & Workshop Infrastructure

Helps us gauge fitting and storage capability

Number of Fitment Bays / Hoists *

On-site Secure Storage Capacity

On-site Equipment Available

Tyre Mounting Machine (Passenger / 4WD) Dynamic Wheel Balancer 3D Wheel Alignment System Run-Flat Tyre Fitting Equipment Commercial Van / Heavy Equipment Fitting

Do you provide mobile tyre fitting services?

Yes No

5

Brand Selection & Projected Order Volumes

Tell us what you would like to stock

Brands of Interest *

Praxent Tyres (Full range: PCR, SUV, Ultra High-Performance PU90, EV-Dedicated PEV80, Commercial PV18, Bosmutus AT) Botrian Tyres (Highway & Touring: PH17, PH18) Both Brands (Full Distributorship)

Primary Customer Segments Served

Passenger / Daily Commuter (PCR) 4WD / Off-Road & Outdoor Enthusiasts (AT/MT) Commercial Fleets / Delivery Vans Electric Vehicle (EV) Owners

Estimated Initial Stocking Order Value *

Anticipated Monthly Purchase Frequency

6

Commercial Trade Account & Credit Request

Choose your preferred trading terms

Preferred Trading Terms *

Pre-payment (Proforma / COD) – Maximum trade discount applied 30-Day Commercial Trade Credit (Requires Director Guarantee and Trade Credit Application submission)

Bank Details for Verification (if credit requested)

7

Document Uploads

Required supporting documentation

Business Registration / ASIC Certificate *

Accepted: PDF, JPG

Workshop Facade / Showroom Photo

Accepted: JPG, PNG – used to review dealer branding standards

Public Liability Insurance Certificate of Currency *

Minimum AUD $10M–$20M cover as per standard VIC automotive trade norms

8

Legal Declarations & Acceptance

Victoria & Australian Trade Compliance

Truth & Accuracy: I/We certify that all information supplied in this application is true, current, and correct. Privacy Act 1988 Compliance: I/We acknowledge that The Next Gen VIC Pty Ltd may collect, store, and utilise this information for credit evaluation, distributor verification, and dealership administration in compliance with Australian Privacy Principles. Territory & Resale Policy: I/We acknowledge that approval as an Authorized Stockist is subject to written approval by The Next Gen VIC Pty Ltd and does not confer exclusive territory rights unless formalised via an explicit Territory Agreement. Electronic Signature Consent: I consent to the electronic verification of this application under the Electronic Transactions (Victoria) Act 2000.

Authorized Signatory Name *

Designation *

Date

Partner with Praxent & Botrian Australia

Application Submitted