Republic Business Partner Application
Design and Create Brilliance at work in a Uniquely Caring Process. At Republic our Motive is Driven by Intelligence, Powered by Humans. Connecting with Care Protecting the Future. At Republic we Choose the Partners with Proper Care and Concern and Selectively Set Up the Republic Hub to Ensure Optimum Travel.
Email address *
Appraising to be India's Resource Centre , On Rights & Requirements, Services & Products, Needs and Deeds For an Inclusive Democratic India. Where the Services and Benefits Can be Fully Tapped!
Be Our Partner - Thank You For Considering Republic Hub.
Join Our Global Network Today.

This form will help you prepare and present your personal and business information which is essential for our consideration in granting Licenses. Please complete it thoroughly and note that the completion of this application form places no continuing obligation on either you and or Republic Hub.

The Republic Hub
Personal Details *
Interested To be *
Name *
First and last name
Email *
Phone number *
Alternate Number *
Date of Birth *
MM
/
DD
/
YYYY
Location Applied For *
State *
District *
Postal Code ( For Republic Hub) *
Current Postal Address *
Educational Background *
Required
Year of Passing *
Years of Work Experience (If Any)
Guidance
In the Fields That are Irrelevant to You, Kindly Mention "NO"
Financial Feasibility to Invest *
Enough Financial Resources *
Capacity to Work, Good Networking and Local Knowledge at Proposed Location *
Current Business Activities (Describe In Detail)
Current Operations of Your Proposed Operations Team, Experience and Expertise of the Core Team.
Relevant Industry Work Experience
Involved in any Other Business that may Restrict you to be Part of Republic Hub? *
Proposed Structure of Business Entity or Franchise Operations *
Required
Is the Business Entity Already Existing ? *
Name of Business Entity
How Do You Propose to set up the Republic Hub?
Will the Proposed Business be Owned and Operated by Yourself ? *
Have You Ever Been Self-Employed? *
If Existing Center, Please Provide the Following Information.
Name of the Existing Center
Years in Existence
Space in Sq. Feet
Location
Number of People Employed
Promoters Details
Details of all Partners / Promoters.
Number of Partners / Promoters
Details of IT Infrastructure ( Computers, Printers, Iris Cameras, Scanners, etc)
Territory Details (City/Town) *
Total Population ( Numbers) *
Capacity To Handle Appropriate Staff Required for Sales, Marketing and Operations at Chosen Location *
IT Expertise to Operate *
Complete Understanding About Services and Products at Republic Hub (Financial, Educational and Healthcare) *
Give some examples of how you have set up a business to deliver world class customer service?
Please provide some examples of changes you have implemented that have significantly improved the profit of your business?
What role do you foresee taking within the Republic Hub and how, if at all, do you see this changing over time?
Describe your involvement in the community, and any interests and hobbies you have outside of your business?
Can you please provide examples of where your current business has been locally relevant in the community?
How Do You Know Republic Hub *
Reference - Please Mention the Name of the Person or Business Entity.
Republic Hub
For Complete Information on Financial, Educational and Health Care Products and Services be Offered through Republic Hub along with Spending and Well Being, May Kindly Visit www.RepublicHub.In
Documents Needed
1. Copy of Address Proof
2. Copy of Identity Proof
3. Copy of Educational Mark Sheet
4. Passport Size Photographs
Declaration
I/We hereby Agree to all the terms and conditions mentioned and undertake if Selected to Start as Business Partner, Operations Shall Start within a Period of 15 Days to a Month Maximum from the Date of Approval of the Application, failing which I/We agree to the Rejection of this Application.

I/We Certify that all Information in this Application form and any attachment thereto is true and Accurately represent my our current and containing finical conditions. I/We Authorize Republic / Muditva to Verify any Information from whatever Source it deems appropriate.

I/We Understand that any misrepresentation in this statement may result in rejection of this application.

Terms & Conditions
1. All the Sections Mentioned Mandate Must be Filled.
2. Applicable Business Partner Fee Shall be Paid as Demand Draft Upon Selection.
3. Selection of the Business Partner Shall be Strictly on Merit, Capabilities and Capacity and
4. First Come First Serve Basis and at the Sole Discretion of the Particular State Partners.
5. Republic Reserves the Right to Scrutinize, Review and Reject any of the Application within 15 Days.
Application Form
The Information You Provide here Shall be held in Strictest Confidence and Completion of this Form is no way constitutes a commitment to Republic Hub / Muditva or It's Business Partners or a Business partner applicant will be automatically awarded. we encourage you to share any relevant information and include anything that you will make you candidacy stand out as a Potential Business Partner. Thank You Again for Your Interest in Republic Hub.


Republic Hub
Team Muditva

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