Ayurhealthclub.

com

AYUR HEALTHCLUB FANCHISE APPLICATION FORM
Guidelines:1. Please enter all relevant details. Do not keep any details vacant / untitled.
2. In case of questions with multiple options, please tick the appropriate answer.
3. In case you wish to provide any additional information, please attach a separate
sheet.
4. Attach your current updated CV and business card along with this application form.
PLEASE WRITE IN BLOCK CAPITAL
Title (Dr/Mr/Mrs/Miss/Ms)__
Full Name and Address:_________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Please paste authorised signatory/Key person passport size photograph here
Mobile/Telephone ______________________________
Email. ________________________________________
Date of birth: _________________
TIME OF BIRTH _____(AM/PM)_______ PLACE OF BIRTH_________________
Gender: M F ________ Married: Y N______________
SECTION I: PERSONAL FACT SHEET
1. Educational Qualification (beginning with the most recent):___________________
Qualification Year of passing Name of Institution ___________________________
2. Current Occupation: (Please Tick)_______________________________________
a.) Service b.) Business. C.) Both. ________________________________________
To be filled in by those in service
Name of current employer : _____________________________________________
Designation : ________________________________________________________
Previous Work Experience : ______________________________________________
Period of service in Organization & Designation______________________________

_____________________________________________________________________
Copy Rights reserved
www.ayurhealthclub.com SHIVAG TRADE AND
BUSINESS SERVICES PVT LTD No 2201, World Trade Center, 22nd Floor
26/1, Dr Rajkumar Road Malleshwaram West Bangalore –560055 Karnataka India

If no. Software/Hardware/IT _____ 3. In case you do not have a site. Dr Rajkumar Road Malleshwaram West Bangalore –560055 Karnataka India .Profit Center Management ____ 5.To be filled in by those in Business Company Name(s) __________________________________________________ Proprietary/Partnership/Private Ltd/Public Ltd_____________________________ Nature of Business Products/Services_____________________________________ Employed Years in Business___________________________________________ Number of People Employed ________________________________________ Last year Turnover (Rs)______________________________________________ 3. Small Business Mgmt. How much funds are you willing to invest? ____________ ___________________________________________________________________ Copy Rights reserved www.ayurhealthclub.) No ________ If yes.Nature of Agreement Ownership/Rental/ Long term Lease/Period of Lease Tiled /________________ 8.) Yes b. Are you currently associated with any professional group/ association? Yes/No If yes. give details: _________________________________________________________________ SECTION II: THE PROPOSED CENTER 1. what is the name of the Business/ Firm/ Company _________________________________________ 2. How do you propose to set up the center? Proprietorship/ Partnership /Private Ltd/ Public Ltd.) No_________________ 5. Do you already buy place for business a.) Yes b. Education/ Training _____4. Other (specify)_____________ 4.______ 6.When do you propose to setup the new venture? Immediately Within next 3 months Next 3 to 6 Months _____________________ 4. World Trade Center. 22nd Floor 26/1.com SHIVAG TRADE AND BUSINESS SERVICES PVT LTD No 2201.Commercial Area/ Residential area______________________________ SECTION III 1.) No_________ 6. Does your professional background involve any of the following? (Please tick the appropriate box) 1.Please give Address of the proposed Place _______________________________ 7. within how many months? ________________________ 2.) Yes b.City / Town where you propose to setup the new venture _______________________________ located in the state of ________________________________________________ 3.Carpet Area of the Location ___________________________ 9. /Society Trust _____________________________ Is the Proprietorship / Partnership / Company/ Already in existence? a. do you plan to take on rent? Yes / No ____ If yes. do you have a place for running business in mind? a. Marketing/ Sales _____2.

22nd Floor 26/1. 22nd Floor 26/1. Dr Rajkumar Road Malleshwaram West Bangalore –560055 Karnataka India Copy Rights reserved www. 4)Gas bill.ayurhealthclub. 22nd Floor 26/1.com should considered you as a franchisee partner. World Trade Center.ayurhealthclub. Dr Rajkumar Road Malleshwaram West Bangalore –560055 Karnataka India 4. State reasons ayurhealthclub.com 1)Adhar Card 2)Electricity Bill 3)Bank statement. please specify the source and attach a note on the background of the person(s)/Institution. World Trade Center. How do you propose to raise the funds required for this Venture? Own Capital %____________ Finance opted from our associates at http://funding.com SHIVAG TRADE AND BUSINESS SERVICES PVT LTD No 2201.com SHIVAG TRADE AND BUSINESS SERVICES PVT LTD No 2201. Dr Rajkumar Road Malleshwaram West Bangalore –560055 Karnataka India . _________________________________________________________________ _________________________________________________________________ __________________________________________________________________ Date: ____ _____ ________ Signature: ___________________ Documents Required For Franchise Form Address Proof (Any 1 of the Following) or DV NO_________________verified with www. What efforts / initiatives Would you put in to make this business a success? _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 5.com SHIVAG TRADE AND BUSINESS SERVICES PVT LTD No 2201.Rental 5)Rental Agreement.in % Other sources %________________ If from other sources.dataisverified.vigash.3. World Trade Center.ayurhealthclub._________________________ Copy Rights reserved www. 6)Declaration form Charted Accountant ___________________________________________________________________ Copy Rights reserved www.

World Trade Center.com SHIVAG TRADE AND BUSINESS SERVICES PVT LTD No 2201. Dr Rajkumar Road Malleshwaram West Bangalore –560055 Karnataka India .s received from Customer and Cheque number's ________________________________________________________ ________________________________________________________ _______________________________________________________ Authorized Signature: Date: ___________________________________________________________________ Copy Rights reserved @ 2014 www.ayurhealthclub.dataisverified.and urban area is Rs 600000/.and we provide rebate for women entrepreneurs 10% . 22nd Floor 26/1. b)Discount of Rs 2000 is available who pays Rs 12000 at the time of renewal on one go _____________________________________________________________________ For office use only : Acknowledgment I Here by declare that we have received the fallowing documents from Mr/Ms ________________________________________ Address Proof __________________________________ Id Proof _______________________________________ Signature Proof_________________________________ Number of Cheque.Identification Proof or DV NO_________________verified with www. One time Franchise Fee payment will enable additional discount of 10% Note: a)Every year Renewal requires 12000 for which Rs 1000 will be deducted on franchise payment or collected from franchises.com 1)Voter Id 2)Pan Card is mandatory 3)Passport 4)Driving License 5)Adhar Card One Time Franchise fee for each pin code area in Rural Area is Rs 300000/.