Veena Vadini Health Education & Research Paramedical Council

Personal Details

Name :

Father’s Name:

Phone :

Mobile :

Fax :

E-mail :

Pin :

Date of Birth :

Address :

Business Experience (if any)

S. No.	Nature of Involvement (Partner/Director etc.)	Extent of Involvement (amount & % of Capital)	Name & Style of Organization	Year (from)	Year (to)	Turnover	Products	No. of Employees
1
2
3
4

Work Experience (if any)

Name of Partners (if any)

How do you plan to procure and allocate the funds required for the Project?

Own Capital :

Loan :

Others Sources :

Why do you wish to invest in Education Business?

Cities/Locations in which you like to start the Project (in order of preference)

Please elaborate on the reasons of choice of city/location.

Who will actively manage the Center?

Bank

Personal Reference

Name of two references, their addresses with Contact No., Approximate year of Association or relationship

Professional References

I hereby declare that I have gone through the Business Proposal & I am interested in applying for the franchisee of HERCI.