RM-ALFA | www.rmalfa.com

Franchie Registration Form

Call Centre No. 05960 297825 [Mon-Sat From 9:00AM-6:00PM].

Institute Details / संस्थान का विवरण

Institute Name / संस्थान का नाम :

Category:

Please mention the courses of interest:

Address Details / पता विवरण

Address Line/पता पंक्ति *

Country /देश *

State / राज्य *

District / जिला *

Pin Code / पिन कोड *

Contact Details / संपर्क विवरण

Mobile / मोबाइल *

Email / ईमेल पता *

(e.g.abc@gmail.com)

Center Information / सेन्टर का विवरण

ANNUAL TURNOVER *

RUNNING SINCE / वर्ष *

CURRENT STUDENT STRENGTH*

COURSE OFFERED *

CURRENT INFRASTRUCTURE * (TOTAL AREA, NO OF CLASS ROOM AND LAB WITH SEATING CAPACITY)

Equipment Details

EQUIPMENT*

SPECIFICATION*

QUANTITY*

COMPUTERS*

SCANNERS*

PRINTER *

LAN *

INTERNET *

Staff Details

Staff*

Number*

Staff*

Number*

CENTER MANAGER*

ACADEMIC COUNSELOR*

SENIOR FACULTY*

JUNIOR FACULTY*

LAB IN CHARGE *

BUSINESS EXECUTIVE *

OFFICE BOY *

SALES MANAGER *

Institute Owner Details

Name*

Educational Qualifications **

Phone(office):*

Email id*

Mobile *

Fax *

Address Line/पता पंक्ति *

Country /देश *

State / राज्य *

District / जिला *

Pin Code / पिन कोड *

Upload Photo / फोटो अपलोड करें *

(Only JPEG/JPG image allowed with the size 5 KB to 50 KB
(i) The colour photos taken professionally (not on a mobile phone) during the last six months with white background should be used.
(ii) The facial features of the person should be clearly visible and no goggles to be used and no part of the face should be covered.

View Photo / फोटो *

Upload Signature / हस्ताक्षर अपलोड करें *

(Only JPEG/JPG image allowed with the size 5 KB to 50 KB, Dimension should be 170X132 pixels
(i) Signature should be taken on white paper using black/blue pen.
(ii) Image should not be blurred or smudged.

View Signature / हस्ताक्षर *

Registration Certificate

(Only JPEG/JPG/Pdf file allowed with the size 50 KB to 1 MB
(i) File should not be blurred or smudged.

Registration Certificate

PAN

(Only JPEG/JPG/Pdf file allowed with the size 50 KB to 1 MB
(i) File should not be blurred or smudged.

PAN

Photographs of the centre indicating the centre location and infrastructure

(Only JPEG/JPG/Pdf file allowed with the size 50 KB to 1 MB
(i) File should not be blurred or smudged.

Photographs

Atleast one photo each of class Room, Lab., Entrance of Centre, Entrance of the Classroom and outside view of the centre.

(Only JPEG/JPG/Pdf file allowed with the size 50 KB to 1 MB
(i) File should not be blurred or smudged.

Class Room, Lab etc Photographs

Please enter the following number you see into the textbox below.
Capture Code

Declaration / घोषणा

* The applicant hereby understands and agrees that mere submission of this application, does not grant/entail the franchise. The Franchisor reserves the right to accept/reject the applicant at its sole discretion.
Date:

Place: