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Franchise Centre Application Form
Guidelines for filling this form
1] Please use block capital for filling details, as clarity is essential for processing the information you provide.
2] * means compulsory fields
Name of Country / City / Suburb do you plan to set up the Franchise Centre :
 
All future correspondence to you should be addressed to:
  Initials : (Please Tick)
Mr. Mrs. Ms.
*
 First Name :  
  Middle Name :  
  Last Name :  

*

 Address :  

*

 Date of Birth :  
  Pincode :  

*

 Country :  

*

 Contact Details (Phone / Mobile / Fax) :  

*

 E-mail :  
Educational qualification beginning with the most recent :
 
Qualification
Year of Passing
Name of Institution

*

 Current Occupation :(Please Tick)
Service Business Others
To be filled by those who are in service :    
  Name of Current Employer :  
  Designation :  
Period
Organisation name
Designation
Responsibilities
From (dd/mm/yy) :
To (dd/mm/yy) :
From (dd/mm/yy) :
To (dd/mm/yy) :
From (dd/mm/yy) :
To (dd/mm/yy) :
       
To be filled by those who are in business :
Turnover in Rs. for Last 3 Years
1st Year
2nd Year
3rd Year
Others (Please Specify in detail) :    
* Does your professional background involve any of the following? (Please Tick)
Marketing / Sales Small Business
Profit Centre Management
Others
Teaching
Administrative Management    
If you are to be involved in this business, how soon can you free yourself from present commitments to start this possible association with Avalon?
* How do you propose to set up the company? (Please Tick)
Limited Liability
Unlimited Liability
Proprietary Concern
Others
Others (Please Specify) :
Is the business already in existence?  
Yes       No
 
  
If yes, what is nature of business undertaken?
  Local Registration Number :  
* How do you propose to raise funds for this centre?
  Own Capital (Rs.) %  
  Loans from Financial Institution (Rs.) %  
  Other Sources (Rs.) %  
Other Sources (Please Specify the source and background of person(S) / institutions) :
A.
B.
Depending on the plan approved for a desired location, approx. 2500 sq.ft.(carpet area) will be required
  Do you already possess a site?  
Yes                    No
     
  If no, do you have a site in mind?  
Yes                          No
 
 
  
If you possess site , fill in the details below :  
Address
Nature of Agreement Ownership / Rental / Long-term Lease (If applicable for other countries)
Period of Lease
Carpet Area
From (dd/mm/yy) :
To (dd/mm/yy) :
If you do not possess site, how long will it take to locate one?
     
  months
How will you be able to contribute in terms of personal skills and attributes to make this enterprise a success?

Declaration
1] I/We, hereby certify that I/We shall remain the applicants and if there is any change in the composition of applicants before signing of the agreement or opening of the Franchise Centre, I/We agree to the rejection of this application if the changes are not approved by Avalon Academy.
2] I/We certify that all the information in this application form is true and accurately represents my/our current and continuing financial conditions. I/We authorize Avalon Academy to verify any information from whatever source it deems appropriate. I/We understand that any misrepresentation in this statement may result in rejection of this application.
3] I/We, hereby undertake if selected, to start a Franchise Centre within a period of three months from the date of approval of this application, failing to which I/We agree to the revoking of this application and agree that the amount deposited, if any, with Avalon Academy will be refunded without interest, less 10 % or  , whichever is more, towards losses of opportunity cost, and that I/We shall not raise any claim against Avalon Academy.

*
I Agree with terms and conditions and declaration mentioned above.