Franchise Pre-Application Form
Please fill in the following details in order to qualify for possibility of getting a Franchise
Name (First and Last Name) *
Your answer
Address *
Your answer
City
Your answer
State
Your answer
Pin
Your answer
Email *
Your answer
Phone Number *
Your answer
Business Phone
Your answer
Home Phone
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Marital Status
Employment History
Your answer
Business History
Your answer
Educational Background
Your answer
Investment Capabilities *
Constitution of Firm *
Interests and Opportunities (If yes, please give the details)
Your answer
Will You be able to give your full - time commitment in running a successful ZenMeds Franchise?
Information of Property
The following details are important for the consideration in granting a Franchisee
Location of the Property
(Please Specify the location Details)
City *
Your answer
State *
Your answer
Whether Near
(Please tick and give details)
Give description of location
Your answer
Whether the Property Is
Area
If rented, then rent and lock in period
Your answer
Property approved by Municipal Corporation Authorities
If yes, please state - nature of property
Location Specific Details
Access to Public Transport
Parking Space
Signage Area
Reliable Electric Supply
Internet Service Available
Nearby Bus Stop/Railway Station
Nearest Bus Stop
Your answer
Declaration (I declare that the information in this application is correct and I authorize Zensark to conduct its own enquiries as to ensure the accuracy of these statements) *
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