Primus Group of College

FRANCHISE APPLICATION FORM

Institute Owner Name *

Institute Name *

Date of Birth *

Pan Number *

Aadhar Number *

Institute Full Address *

Select State *

Select District *

Pincode *

Total Computer Operators

Total Class Rooms

Total Computers

Space of Center (Sq. ft.)

Reception Available?

Yes No

Staff Room Available?

Yes No

Water Supply?

Yes No

Toilet Available?

Yes No

Contact Number *

WhatsApp Number *

E-Mail ID *

Qualification of Institute Head *

Upload Photo of Franchise Owner *

Create Center Username *

Create Login Password *