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Franchise Application Form
Franchise Application Form!
User ID :
*
Gender :
*
Male:
Female:
Applicant Name :
*
Father's/Husband's Name :
*
Date Of Birth :
*
Age :
Address :
*
Landmark :
At Post :
*
City/Town :
*
District :
*
PIN :
*
State :
*
Educational Qualification :
SSC:
HSC:
Graduation:
Other:
Contact Number :
*
Email Id :
*
Date Of Joining :
*
Date Of ID Activation :
*
Mode Of Payment :
*
Hourly:
Daily:
Weekly:
Monthly:
Method Of Payment :
*
Cash:
Cheque:
Bank Transfer:
Package Option :
*
Package:
No. Of Account:
Paid Amount Rs. :
*
Applicant's Bank Details :
Bank Name :
Account Number :
Branch Address :
IFSC Code :
Declaration
I hereby confirm and declare that all information given here in is true and correct to the best of my knowledge and I wish to purchase the plan offered by the institute and the amount paid is towards of the same. I have full faith in the services offered by the institutes and in the management of the institutes. I am aware that the amount paid by me is solely towards services of the institutes and I know it is neither refundable nor transferable after paying it once. I have read all the terms and conditions of the institutes and I shall be bound and abide by the same currently enforces.
Place :
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Signature of the Applicant :
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Date :
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