BITI Franchisee Application Form

Applicant Name :

Father/Husband's Name :

Sub Applicant Name :

Name of Center :

Address of Center :

City/District :

PIN Code :

State :

Your Email ID :

Mobile No. (+91) :

Alternate Mobile No. (+91) :

Number of staff :

Qualification of Applicant :

Covered Area (in sqft.) :

No. of computers :

Coordinator Name:

Scope of Franchisee :

Your Message For Us:

Pancard Scan Copy of Applicant :

Your Passport Size Photo :

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