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Franchise Registration

Personal Details
First Name :
Last Name :
Sex :
Date Of Birth : [DD/MM/YYYY]
Location Details
Address :
Area :
City :
State :
Pin Code :
Contact Details
Phone Number : 1.     
2. [eg,079- 12345678]
Mobile Number : 1.    
2. [10 digit only]
Email Address :    
Username, Password will be sent on this Email Address
Account Details
Existing User Reference : Yes No 
Account Type :
You will get confirmation e-mail on successful registration. Paid account will get activated once payment is received.
Account Type Account Detail Validity (Days) Online Test Trials Fee (Rs.)
Franchisee / Agency Account You will be given 5000 Online Test Permission, within 1 year. Earn minimum of Rs. 20,000 over all from your investment. Work From Home or from any where. THIS SCHEME IS ONLY FOR FIRST 20 FRANCHISEE, THEN THE FEE WILL BE Rs. 7000. 365 5000 10000
Payment Details
Please pay your membership fee by cash / cheque at your nearest Bank Of India branch as per the details given below.
Name of Account  :  Vidyut Shah
A/C No.  :  203410110001160
Bank Of India Branch  :  Income Tax Branch
Branch Code  :  BKI0002034
Mode of Payment  :    
Payment Date & Time  :   [DD/MM/YYYY]  
Security Code              :