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 :

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 Centre ? Myself Family Member Employed Manager

8) What is the approximate population of the locality within 3 kms radius where you intend to setup the centre ?

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

Colleges Schools Computer Institutes Parks / Gardens

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

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 Propriotory Partnership     Private Ltd.
  Public Ltd. Others (Specify)
 
2. Source of Finance for Franchise
Self Bank Loan Others (Specify)
a. If Partners / Directors
S.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 centre ?

For more information visit our website www.compufield.com

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

Regards
For Compufield


M.E.Khairaz (MD)