| (*
represents compulsory fields ) |
| *Your
Name : |
|
| *Date
of birth: (Day/month/year) |
|
| *Address |
|
| *Phone
:(Include Country/Area Code) |
|
| *Your
E-Mail : |
|
| *Education
Qualification |
|
| *Business
Experience |
|
| *Experience
in franchise (If so describe ) |
|
| *How
do you propose to finance this operation? |
|
|
*Describe the location
you propose to open the Franchise : |
|
*Financial Information
|
|
|
Annual Individual Income Rs. |
|
|
Annual Family Income Rs. |
|
|
Annual Expenditures Rs |
|
*Proposed form of
ownership
(Corporation, Partnership etc) |
|
|
*Who all will be
associated with you in this opportunity? |
|
|
VERIFICATION AND AUTHORIZATION OF RELEASE OF INFORMATION
By submitting the above information, I hereby release and allow RPL
Group to verify the credit information provided. Further, certify that
the financial information supplied on this form is true and correct and
may be authenticated by credit and/or background investigation.
|
|
|
|
The signature below authorizes the release and verification of credit
information to RPL Group. The undersigned certifies that the information
supplied on this form and any financial information attached is true and
correct and may be authenticated by credit and / or background
information.
|
