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Home Register Franchisee

1Basic Information

First Name *

Last Name*

Email Address*
Education Qualification

Name of the Partners

Relationship with the Applicant

2Contact Details

First Address *

Second Address

City *
Zip Code

State*

Country*
Mobile Number *

Phone Number

3Office / Shop Details

Address

Phone No

Present Occupation
Brief History & Business Career

4Detailed Address of the Proposed Shop

First Address *

Second Address

City *
Zip Code

State*

Country*
Phone Number

Is the Area of the proposed Shop more than 300 Sq ft
Yes No

5Area of the Shop (Carpet)

Length

Breath

Height
Total Area

Proposed shop is only Ownership Leave License?

If Tenancy/Leave License, is the tenure above 12yrs?
Yes
No
What is your estimated monthly sale
for the proposed shop(Rs)

If No, what is the present business being
conducted at the premises

6References (Should not be related)

First Name

Last Name

Address Name
Mobile