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Franchise Application
Franchise Application Form
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First Name
Last Name
Email
Phone Number
Name of Shop (if available)
Place of Shop To Be Proposed
Plinth Area (Sq. Ft.)
Rent or Owned
Rented
Owned
Pharmacy Certificate Available?
Yes
No
Drug License Having?
Yes
No
Having Medical Store or New?
Existing Medical Store
New Medical Store
Experience
Willing to Join Hands With Us?
Yes
No
Agreement with Owner (if rented)
I Agree that
The information given are true to my knowledge and correct.
Submit Application
