Test Merit Franchisee Application Form 1

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    18-Dec-2014

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Test Merit Franchisee Application

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<ul><li> 1. TestMerit Franchisee Development Form Applying For: ___________ (Master Franchisee/District Franchisee /Local Franchisee) All the fields will be filled in boxes. 1. Name : _____________________________ 2. State _____________________________ 3. Company Name _____________________________ 4. Address : _____________________________ City : _____________________________ District : _____________________________ State : _____________________________ Pin Code : _____________________________ Contact Number : _____________________________ Company E-mail : _____________________________ Company Website : _____________________________ 5. Contact Person Name : _________________________ 6. Contact Person Mobile : _________________________ 7. Contact Person E-mail : _________________________ 8. Date of Birth : ____________ Age : ________ 9. Educational Qualifications: _________________________ 10. Computer Knowledge : _________________________ 11. Do you have any existing office or computer set up? ___________________________________________________________________________ ___________________________________________________________________________ 12. What is your or Companys Annual income? ___________________________________________________________________________ 13. Provide Names of State/District/Territories you want to represent (in the order of preferences). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 14. Are you a member of any Professional Association/ Institutions/ Clubs? ___________________________________________________________________________ 1 </li> <li> 2. 15. Are you involved in any similar business? If so, list out the names of the principal partners as per the format given below: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 16. Any other information that will be useful for us to evaluate you better. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Declaration: Date: Place: Mail this form to testmerit@gmail.com. 2 </li> </ul>

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