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Franchise Application Form

Guidelines:

Please enter all relevant details. Do not keep any details vacant / unfilled.

In case of questions with multiple options, please tick the appropriate answer

In case you wish to provide any additional information, please attach a separate sheet.

Attach your current updated CV and business card along with this application form.

PLEASE WRITE IN BLOCK CAPITAL

Title (Dr/Mr/Mrs/Miss/Ms):		Email:
Full Name:		Date of birth:
Telephone:		Gender:
Mobile number:		Married:
Address:		* Username:
		* Password:
		* Verify Password:

SECTION I: PERSONAL FACT SHEET

1)	Educational Qualification (beginning with the most recent):

Qualification	Year of Passing	Name of Institution

2)	Current Occupation: (pick tick)

Service

Business

Both

Name of current employer :

Designation :

Previous Work Experience:

Period	Organization Name	Designation	Responsibilities

To be filled in by those in business :

Company Name(s)

Proprietary/ Partnership/ Private Ltd./ Public Ltd

Nature of Business

Products /Services offered

Years in Business

Number of People Employed

Turnover (Rs.)

Last 3 years

3)	Does your professional background involve any of the following?(Please tick the appropriate box)

1	Marketing/Sales
2	Education/Training
3	Small Business Mgmt

4	Software/Hardware/IT
5	Profit Center Management
6	Other (specify)

Are you currently associated with any professional group/association?

Yes

If yes, give details:

Any past criminal record?

Yes

Are any criminal proceedings pending against you in any courts in India?

Yes

Have you ever been charged for any unlawful acts?

Yes

Your social status:

If you have ticked ‘Yes’ for any of the above options, please state details of the same here below:

SECTION II: THE PROPOSED CENTRE

1)	How do you propose to set up the centre?

Proprietorship

Public Ltd.

Partnership

Society

Private Ltd.

Trust

Is the Proprietorship/Partnership/Company/Already in existence?

Yes

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?

Immediately

Within next 3 months

Next 3 to 6 months

Do you already possess a site?

Yes

If no, do you have a site in mind?

Yes

Please give details of the site :

Nature of Agreement Ownership/Rental/Long Term Lease

Period of Lease

Tiled/Carpet Area

Location: Commercial Area/ Residential Area (Address)

From
To

In case you do not have a site, do you plan to take on rent?

Yes

If yes, within how many months?

How much funds are you willing to invest?

More than 50 Lacs

40 to 50 Lacs

30 to 40 Lacs

Below 30 Lacs

How do you propose to raise the funds required for this venture?

Own Capital

Loans from financial institutions

Other Sources

If from other sources, please specify the source and attach a note on the background of the person(s).

10)

What efforts / initiatives would you put in to make this business a success?

11)

State reasons why Jaaydaad franchise should considered you as a business partner.

Date

Signature

12)

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