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Full Name*
Contact No*
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Date of Birth*
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Education Qualification*
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Details of current Business / Occupation
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If owning a Business
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Company Name
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Other Information
Source of Fund
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Have you applied for any other Franchise in last two Years?
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Yes
No
If yes, Which Franchise
Do you have past working Experience in Related Trade?
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If yes, please State Details
When do you intend to start this Business?
Are any Criminal Complaints or Cases pending against you?
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If yes, please State Details
Are there any sort of legal processing against you or you have filed any complaints?
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No
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Have you ever been convicted or any sort of legal processing pending in any court of law?
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No
If yes, please State Details
Have you been ever a part of any unsocial or anti national activity?
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Yes
No
If yes, please State Details
Do you have any major Illness?
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No
If yes, please State Details
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