Address :-
203, 2nd Floor, Inizio CTS 479, 479/1 to 479/17,
Cardinal Gr, acious Road, Opp. P&G Plaza,
Andheri Ea, Mumbai, Mumbai,
Maharashtra - 400099.
Apply for
1. Dealership 2. Distributorship
Franchise Application Form:
Guidelines:
1. Please enter all relevant details. Do not keep any details
vacant/unfilled.
2. In case of questions with multiple options, please tick the
appropriate answer.
3. In case you wish to provide any additional information, please
attach a separate sheet.
4. Attach your current updated CV and business card along with
this application form.
Franchise Application Form:
Title (Dr./Mr./Miss./Ms.)
Full Name:
Address:
Telephone/Mobile no.
Email:
Date of Birth:
Gender: M F (Circle as appropriate)
married: Y N (Circle as appropriate)
SECTION: PERSONAL FACT SHEET
Education Qualification (beginning with most recent)
Qualifications Year of Passing Name of the Institute
Current Occupation: (Please tick)
A) Service B) Bussiness C) Both
[Link] Helpline 7698730836
To be filled in by those in service
Name of the current employer:
Designation:
Previous Work Experience:
Period Organization Name Designation Responsibilities
All informtion provided here will be kept confidential and will not be used for any
other purpose to be filled in by those in business:
Company Proprietary/ Nature of Products/ Number Turnover (Rs.)
Name(s) Partnership/ Business Years in
Services Business of people
Private Ltd./ offered Employed
Public Ltd.
Last 3 Year
Does your professional background involve any of the following? (Please tick the
appropriate box)
1. Marketing/ Sales 2. Health care
[Link]/ Training [Link] center Management
5. Small Business Mgmt.
[Link] Helpline 7698730836
Are you currently associated with any professional group/ association?
Yes No
If yes, give details:
SECTION II: THE PROPOSED CENTER?
How do you propose to set up the center?
Proprietorship Partnership Private Ltd.
Public Ltd. Society Trust
Is the Proprietorship/Parnership/Company/Already in existence?
Yes No
If yes, what is the name of the Business/Firm/Company
City Town where you propose to setup the new venture
Located in the state of
when do you propose to setup the new venture?
With in 1 months Next 1 to 3 months Immediately
Please mention the area where you want to work
[Link] Helpline 7698730836
Do you already possess a site?
Yes No
All information provided here will be kept strictly confidential and will not be used for
any other purpose (If no, do you have as it in mind?)
Yes No
Please give details of the site:
Nature of Period of Lease Tiles/Carpet Area Location:
Agreement* Commercial Area/
Ownership/Rental/ Residential Area
Long Term Lease (Address)
From:
To:
Incase you do not have a site, do you plan to take on rent?
Yes No
If yes, with in how many months?
How much funds are you willing to Invest?
1-5 Lakh 5-10 Lakh
10-20 Lakh 20-30 Lakh
[Link] Helpline 7698730836
Date:
Signature:
[Link] Helpline 7698730836