Franchisee Registration

Personal Details and Address of Owner/Center Manager :-

Full Name *		Select Gender *
Date of Birth *		Father's/Husband's Name *
Address *		Pincode/Zipcode
Mobile No. *		Email *
Country *		State *
District *		City *
Aadhar Number *		PAN Number *
Marital Status

Bank Details :-

Account No. *		IFSC Code *
Account Holder Name *		Bank Name *
Bank Branch *		Net Banking (Yes/No) *

Centre Premises Details : Area In Square Feet :-

Reception		Office
Class Room 1 *		Seating Capacity *
Class Room 2		Seating Capacity
Lab 1 *		Seating Capacity *
Lab 2		Seating Capacity
Library		Other
No. of Toilet Male		No. of Toilet Female

Hardware Details :-

Power Backup		Biometric Device
CCTV Camera		LCD Projector
AC		Water Cooler
Others

Centre Employee Details :-

01. *
02.
03.
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10.

Details for PA :-

Name of Centre Owner		Father's Name/Gaurdian
Age of Centre Owner		Name of Nominee
Relation with Nominee