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Franchisee Application Form 
Personal Details
 
Name:
Father Name:
Date of Birth:
Marital Status:
Education Qualification:
Occupation:
Mother Tongue:
Languages Known:
Nationality:
Present Address:
Permanent Address:
Phone No.:
Mobile No.:
E-mail:
 
Details of the proposed franchisee centre
    
Place Applied For :  
Address :  
Population :  
Languages Spoken : 1.
  2.
  3.
Area Available for center :  
If Available, status of area :  
 
No.of Educational Institutes functioning in the town
 

  

Strength (approx.)
Technical :
Graduation :
Under graduation :
Schools :
 
Detail of the primary business of the city/town
 
Industrial   Trading
Education   IT Services
Agriculture   Others
 

 

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Registered Office
BALC
# 413/1, 5th Cross,
2nd Main, Srinivasanagara,
Sunkadakatte, Bengaluru -560091
Phone No: +91 80 32482551/52
Fax: +91 80 23285781
Mobile No: +91 9886050482
  +91 9844440283
SMS: BALC to 56070
Email: balc.kar@gmail.com

 
 

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