Franchise Registration

Personal Details

Name

Phone

Fax

Pincode

Father's Name

Mobile

Email Address

Date of birth

Address

Business Experience (if any)

Nature of Involvement 1 ( Partner / Director etc.)

Extent of Involvement 1 ( Amount & % of Capital)

Name & Style of Organization 1

Experience 1

Turnover 1

Products 1

No of Employees 1

Nature of Involvement 2 ( Partner / Director etc.)

Extent of Involvement 2 ( Amount & % of Capital)

Name & Style of Organization 2

Experience 2

Turnover 2

Products 2

No of Employees 2

Nature of Involvement 3 ( Partner / Director etc.)

Extent of Involvement 3 ( Amount & % of Capital)

Name & Style of Organization 3

Experience 3

Turnover 3

Products 3

No of Employees 3

Nature of Involvement 4 ( Partner / Director etc.)

Extent of Involvement 4 ( Amount & % of Capital)

Name & Style of Organization 4

Experience 4

Turnover 4

Products 4

No of Employees 4

Work Experience (if any)

Organization 1

Designation 1

Last Salary Drawn 1

Experience Year 1

Nature of Work 1

Organization 2

Designation 2

Last Salary Drawn 2

Experience Year 2

Nature of Work 2

Organization 3

Designation 3

Last Salary Drawn 3

Experience Year 3

Nature of Work 3

Organization 4

Designation 4

Last Salary Drawn 4

Experience Year 4

Nature of Work 4

Name of Partners (if any)

Name 1

Phone number 1

Email Address 1

Name 2

Phone number 2

Email Address 2

Name 3

Phone number 3

Email Address 3

Name 4

Phone number 4

Email Address 4

How do you plan to procure and allocate the funds required for the object .

Own Capital in %

Loan in %

Other Sources in %

Why do you wish to invest in education Business ?

Cities/Location in which you like to start the project (in order of preference)

City 1

City 2

City 3

Please elaborate on the reason of choice of city/location .

Who will actively manage the center ?

Bank Name

Bank Phone No .

Bank Address

Personal Refrences

Name of two refrences , their address with Contact No , Approximate year of Association or Relationship .

Professional Refrences

I Hereby declare that I have gone through the business Proposal & I am intrested in applying for the franchisee of DPMI .