Dear Sir/Madam,    

Thanks for your interest shown in our Franchise Scheme.

Kindly answer the following questions :

PERSONAL DETAILS
Name	:
Postal Address (in case we need to send you Our Project Report)	:
Country	:
City	:
Telephone Number	:
Email Address	:
How did you come to know	:

INFRASTRUCTURE DETAILS

1) Is your premises in Residential or Commercial Area ? Residential Commercial

2) Is it owned by you ? Yes No

3) Sq. feet area of the premises you have : Between 750 to 1000 Sq. Ft Above 1000 Sq. Ft

4) Do you have any of the following items for the institute ?
(if yes your investment will get reduced proportionately)

a) Computer Hardware : Yes No     b) Furniture & Fixture : Yes No

5) Do you have a investment capacity of 10 to 11 lakhs ? Yes No

6) Do you have IT background ? Yes No

7) Who will look after the Center ? Myself Family Member Employed Manager

8) What is the approximate population of the locality within 3 kms radius where you intend to setup the center ? 25,000 to 50,000 50,000 to 1,00,000 Above 1,00,000

9) Number of Colleges, Schools, Computer Institutes, Parks / Gardens within 3 kms area ?

1 2 3 4 5 6 7 8 9 10 Colleges 1 2 3 4 5 6 7 8 9 10 Schools 1 2 3 4 5 6 7 8 9 10 Computer Institutes 1 2 3 4 5 6 7 8 9 10 Parks / Gardens

10) Class of people residing within 3 kms radius where you intend to setup the center ?

Higher Class Higher Middle Class Lower Middle Level

OCCUPATION DETAILS
Service					Business	Profession (Specify)
IF SERVICE:
PRIVATE LTD CO.					PUBLIC LTD CO.	OTHERS (Specify)
LENGTH OF SERVICE:
IF BUSINESS:
NATURE OF BUSINESS:						YEAR ESTD.:
1. Company Constitution					Proprietary	Partnership	Private Ltd.
					Public Ltd.	Others (Specify)
2. Source of Finance for Franchise
Self					Bank Loan	Others (Specify)
a. If Partners / Directors
Sr.No Names Address Equity Holdings (%) 1. 2. 3.
If more partners / Directors attach a separate sheet giving above details.
b. Bankers Details
Banker's Name:						Type: SB CA CC
c. Financial Status
Gross Annual Income / Turnover:
Movable Assets:						Immovable Assets:
3. Why are you interested in setting up a COMPUFIELD center ?

For more information visit our website www.compufield.com

Thank you for spending your valuable time we will get back to you at the earliest.

Regards
For Compufield

Nirmal Gala
(Franchise Manager)

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Mobile Number +919820134058 (MD)	Gmail  compufield@gmail.com	Yahoo Messenger compufield@yahoo.com	MSN Messenger compufield@hotmail.com	Skype compufieldinfo@skype.com
HO : Chinoy Mansion, First Floor, Block # 2, Opp. St.Stephen's Church, Warden Road, Mumbai (Bombay)-400 036, India.   : +91-22-23676218