GenericPlus Pharmacy

Franchisee Registration

Applicant Name*

Partner Name

Type Of Firm*

Proposed Name Of Franchisee*

Shop Address*

State*

District*

City*

Other City*

Pincode*

Email*

Mobile No.*

Whatsapp No.*

Residential address*

Date Of Birth*

Age*

Education Of Owner*

Present Occupation Of Owner*

D.L. No.1*

D.L. No.2

D.L. No.3

Address Proof*

ID Proof*

Residence From*

Distance From Nearest Existing Franchisee*

Ready To Invest 8-10 Lakhs*

UTR No*

Bank Name*

Transaction Date*

Account Holder Name*

Amount*