Franchisee Application Form

Note: * indicates required field

Venturer Name *

Address for Communication *

Date of Birth (DD/MM/YYYY) *

Proposed City of the Education center / State * / /

Phone * -

Mobile No: *

Phone: (Res) * -

Fax: -

E mail: *

Alternate e-mail: (If available)

Is it the First Business Venture? *

Education Qualification

Highest Qualification *

College *

Place *

Specialization *

Year of Passout *

Family Details (Father, Mother, Spouse, Brother(s), Sister(s), Children) *

Select	Name	Relationship	Occupation	Qualification

Reasons for entering Animation / Multimedia training business (Mention in detail) *

Elaborate reasons for the city you have chosen for business *

Do you own a place for starting the training in the chosen city *

Are you running the franchise of any other IT Training Company anywhere in India or abroad *

Amount available from own
sources to be invested in the
business *

10 -15 Lakhs
15 - 25 Lakhs
25 - 50 Lakhs
Above 50 Lakhs

Who would actively manage the center (Mention in Detail) *

What is your role in the decision making process *

Reasons for choosing IMAGE as the Business / Technology / Knowledge Partner (Mention in detail) *

When is the estimated start date of the project? *

Rate of return expected by you on your investment * 1st Year (%)
2nd Year (%)
3rd Year (%)

Personal and Professional References (Include Bank references) *

Select	Name	Relationship	Occupation	Qualification

Any Other Information You Think will be Useful for Our Evaluation?

Enter the characters shown in image *

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S.no	Location you have identified	Distance from the centre of the city (Kms)	Famous Landmark
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Franchisee Application Form

Education Qualification

Family Details (Father, Mother, Spouse, Brother(s), Sister(s), Children) *

Personal and Professional References (Include Bank references) *

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