::elloramultimedia::

ELLORA FRANCHISEE APPLICATION FORM
The Personal / Business information provided here is for confidential use of our franchise review and selection process.
General Information
Name
	(First Name)	(Middle Name)	(Last Name
Address for Communication
City		Pincode
Telephone		Fax
Email
Details of current Business / Occupation
Name of Firm/ Company
Sole Partnership Partnership Public Limited Company Private Limited Company
If employed, company and designation
If owning a business, nature of business
Preffered Time to Contact		To
Location Details
Proposed area (specify locality)
Address of location available (if any)
City		Pincode
Telephone
Landmark(s)
Owned property Rented / leased property
Carpet area available			sq. ft.
Would you devote full time to this Business?			Yes No
Will you be otherwise employed while owning this business?			Yes No