Full Name *

Mobile Number *

Company Name (optional — required only for business use)

City/Location *

Preferred Test Ride Date *

How soon are you looking to get an EV? * Select a timeline Within 1 week Within 1 month Within 3 months 3–6 months Just exploring options

Current vehicle * Select an option Petrol Scooter Motorcycle None

Interested in exchange * Select an option Yes No

Is this for? *

Personal Use Business Use (e.g., Delivery, Field Staff)

What best describes your intent? * Select an option Ready to switch soon Comparing electric options Gathering info for team/company Just curious

Why are you considering Ather? * Select a reason Reduce fuel/maintenance costs Upgrade to EV for business Replacing petrol bike Company sustainability goals Referred by friend/influencer Other

Are you the decision-maker? * Select your role Yes, I make the final decision I help influence the decision I'm collecting info for someone else

I understand that:

• A real team member will call me shortly to schedule the test ride.
• I won’t ignore the call or claim I didn’t fill this form 😄

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