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FRANCHISEE APPLICATION FORM

Affix latest
passport
size photo

I: BUSINESS INFORMATION
1. Name of Firm

2. Address:

City Pin Code State

3. Status of Firm
Proprietorship / Partnership / Pvt. Ltd. Co. / HUF
(strike out whish is not applicable) (other than proprietorship, please provide names of Partners /
Directors at the list provided at the end)
4. Date of
Establishment

5. Name/(s) of the person/(s) to be contacted

Name Designation Age Contact No.
1.
2.
3.
4.

II: PERSONAL INFORMATION

Name Mr. / Mrs. Age Yrs
Address:

City Pin Code State

Phone No. Off Res Mobile

E-mail Fax No.

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III: FINANCIAL INFORMATION

Name of Banker

Address of Branch

Saving / Current / OD / CC (strike out whish is not applicable)

Type of Account
Account No. RTGS CODE

III: OTHER INFORMATION (please attaché copy of certificate, wherever applicable)

Income Tax PAN Local VAT Tin No. & Local CST Tin No. & Service Tax Regn No.
Date Date

IV: FRANCHISEE LOCATION & OTHER INFORMATION

1. City Population

2. Location of Store ______________________________________________ on Gr./ 1st floor

Please attach photographs of your store from Front, Side Left, Side Right and
from Inside facing outside

3. Total Area Sq. Ft. Carpet Area Sq. Ft.

4. Clear Frontage Sq. Ft. Car Parking Facility ________ No. of Cars

Own / Rental / L & L

5. Store Ownership (strike out whish is not applicable)
If rental, Rent Per Month Rs.

6. Do you plan to personally operate the on full time basis ? YES / NO

7. How much time will you take to start the business after signing agreement ?

8. Do you have any other franchisee ? YES / NO (if yes please provide the details
below)

Name of Company whose Franchisee Since

franchisee you are (mention year)

CONFIRMATON
I hereby confirms that the all the details mentioned hereinabove are true.
Name :

Signature :

Place & Date :

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Details of Partners / Directors:
No. Name Age Designation
1.

2.

3.

4.

5.

Terms & Conditions:

1. Interested applicant will have to send a Cheque / DD payable at Ahmedabad for Rs. 25,000/- (Non
Refundable) in favour of “ZEDEX CLOTHING PVT. LTD.”, towards Franchisee Fees.
2. Franchisee fee will be deposited only after final approval and signing of Letter of Understanding, if
franchisee application is rejected, will be refunded in due course.
3. Attach copies of IT PAN, ST / CST TIN wherever necessary & of all partners / Directors.
4. Attach copy of Partnership Deed or Memorandum of Association, if applicable.

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FOR OFFICE USE

Application received on

Verified by & on

Details of Security Deposit

Cheque No. & Date

Cheque No. & Date

Cheque No. & Date

M. G. & Commission details

Commission

Rent

Salary

Electricity Bill

Telephone Bill

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