Professional Data Form
Companies seeking Franchise are requested in fill-in this form and submit.
Name of Organisation
Your answer
Constitution of Organisation
Interested Segment & Product Line
Your answer
Area of Operation
For which geographical area would you like to have franchise rights? Eg: Mumbai, Pune etc.
Your answer
Statutory Details
Drug License No (Full)
Your answer
GSTIN
Your answer
Contact Details
Office Landline Number
Your answer
Office Mobile Number, if any.
Your answer
Organisation Email ID
Your answer
Other Details
No. of MR's working in your organisation
Your answer
Dealing with other companies, if any.
Please list down other companies that your organisation is dealing with.
Your answer
How did you come to know about Novalife Healthcare
Financial Details
Expected Turnover that can be achieved and the tentative investment that the company can make.
Expected Turnover in Year 1
Your answer
Expected Turnover in Year 2
Your answer
Expected Turnover in Year 3
Your answer
Tentative Investment
Your answer
Details of Person-in-charge
Details of the Proprietor, Partner or Director in charge, who would be dealing with our company.
Name of Proprietor/Partner/Director
Your answer
Date of Birth
MM
/
DD
/
YYYY
Mobile Number
Your answer
Work Experience
Please provide no. of years of experience.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms