Franchisee Application Form
FILL IN BLOCK LETTERS
STATE PARTNER / DISTRICT PARTNER'S NAME *
IF OTHER SPECIFY THE NAME
S.P OR D.P MOBILE NO *
NAME *
CONTACT NUMBER *
E-MAIL ADDRESS *
PERMANENT ADDRESS
AS PER ADDRESS PROOF
VILLAGE / CITY *
POST OFFICE *
POLICE STATION *
DISTRICT *
STATE *
PIN CODE *
CSP ADDRESS
Kiosk Address
VILLAGE / CITY *
POST OFFICE *
POLICE STATION *
DISTRICT *
STATE *
PIN CODE *
DATE OF BIRTH *
MM
/
DD
/
YYYY
AADHAR CARD (FRONT) *
Required
AADHAR CARD (BACK) *
Required
PAN CARD *
Required
YOUR BANK DETAILS *
UPLOAD PASSBOOK/ CANCELLED CHEQUE OR STATEMENT
Required
PASSPORT SIZE PHOTO *
Required
SPECIMEN OF SIGNATURE *
Required
PLAN *
MONEY RECEIPT *
Required
Submit
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