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Franchisee Registration

 

Account Details
Username*  
Password*(minimum 6 characters)
 
Confirm Password*
 

 

Details of the applicant
First Name*
 
Last Name*
 
Gender*
Male Female 
Marital Status
 
State *
 
District*
 
Village*
 
Date of Birth
 
 
Upload Photo
 

 

Contact Details
Present Address*
 
PIN Code*
 
Telephone Number*
 
Mobile Number*
 
E-mail Id*
 

 

Educational Details
Educational Qualification*
 
Branch of Study
 
Other Educational Qualification
 
Professional Experience*
 
Type of Experience (Ex: Teacher,DTP etc)
 

 

Bank Account Details
Account No
 
Bank Name
 
Branch Name
 
PIN Code
 

 

Facilities in Your Center
Power Backup Facility*
yes  no  
Connectivity*
yes  no  
No. of Computers*
 
Necessary Facilities
webcam speakers headphones microphone  

 

Other Details
Location of Franchisee Center*
 
Address with Land Marks*
 
Population of the District(Of Franchisee center)
 
If premises available,status of the premises*
Owned   Rented  
Existing infrastructure if any(details)
 
 

PS: Please note that the details marked with * are essentially needed and we acknowledge that for no reason your personal details would be disclosed to a third party without prior notice and permission.

 I, do hereby affirm that the details furnished above by me are true and correct to the best of my knowledge and belief.

 

 

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