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Franchisee Request Form

Name *
   
Date Of Birth* (dd/mm/yyyy)
   
Address *
   
City / District *
   
Population
   
State *
   
Phone (O)
   
Phone (R)
   
Phone (M) *
   
Best Time To Contact In Between &

   
Email *
   
Preferred Locality for Centre *
   
Population of Preferred Locality
   
No. of Schools
   
No. of Colleges
   
State *
   
How do you Propose to set up the
          Franchisee ?
   
Available / Proposed Floor Space (Sqft) 800-1200 1200-1500 1500 and above
   
Proposed Capital Investmentt * 3-5 Lakh 5-8 Lakh Above 8 Lakh
   
How soon you would be able to invest
          (months) ?
   
Your Academic Background ?
   
What are you currently doing ?
   
Years of Experience ?
   
Brief on your current role / responsibility
   
Your Salary for the previous Financial Year ?
   
Do you have any experience in the IT or
          Education industry ?
   No
   
Brief Nature of your Current Business
   
If you are in Education Business Area
   
No. of Computers
   
No. of Students
   
Course Offered
   
Your turn-over for the previous Financial Year (INR)
   
Information you seek from NIHT
   
Other Comments
   
 
   
  * mandatory fields
   
   
 
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