Franchise Application Form
Personal Details
Full Name
(As in Pan Card/Aadhar/Voter’s ID)
E-mail
Contact No.
Alternate Number
D.O.B
Communication Address
City
State
Pincode
Pan Card
Aadhar Card
Nationality
Permanent Address
City
State
Pincode
Gender:
Select Gender
Male
Female
Other
Marital Status:
Select Marital Status
Single
Married
Divorced
Name of Spouse
Number of Children
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Educational Qualifications
Highest Educational Level:
Select Education Level
Higher Secondary
Diploma
Graduate
Post Graduate
Doctorate
Qualifications:
University/College/School/Institute:
Year of Qualification Achieved:
Certificate/Course/Award Information
Certificate/Course/Award
Year Received
Awarded By
Special Skills, Abilities, Etc. (Circle proficiency level, 5 for excellence to 1 for poor)
English Spoken:
5
4
3
2
1
Other Skills:
5
4
3
2
1
Mathematics:
5
4
3
2
1
English Written:
5
4
3
2
1
Employment/Business History
Current Employer/Business Owned: Name of Company
Business Position
Date Joined
Business Address
Monthly Income
Previous Employer or Other Business Owned
Name of Company
Monthly Income
Date Joined
Business Address
Last Position Held
Date Left
Reasons for Leaving
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Father's / Spouse’s Particulars
Select Particular:
-- Select --
Father
Spouse
Date of Birth:
Full Name (As in Pan Card/Aadhar):
PAN Card No.:
Nationality:
Aadhar Card No.:
Mobile Number:
Father's Employment
Position:
Name of Organisation:
Business Address:
Monthly Income:
Spouse's Employment
Position:
Name of Organisation:
Business Address:
Monthly Income:
Financial Statement
Average Monthly Income (INR):
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Other Information
Have you, your spouse OR any of your family member ever applied for any center before?
If yes, please state details & Year:
-- Select --
Yes
No
How did you learn about eduMETA’s Centre Opportunity?
Why are you applying for the centre?
Why applying for the centre?
Upload Aadhar Card Image:
Upload PAN Card Image:
I do hereby represent that all the above answers are true and complete to the best of my knowledge and belief. I recognize that eduMETA is not in any way obligated to franchise a learning centre to me because of our execution of this document. I acknowledge that any false statement on this application shall be considered sufficient cause to deny any further consideration or cause revocation of any signed agreement with eduMETA.
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