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Form - FRANCHISEE

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Total Expenses : Rs 5900/-

Sponsor Present ? * Yes No




[ After Click On Primary Submit Check your Email ID for Final Submission ]

FRANCHISEE DETAILS

Location : Latitude & Longitude *
Name of the Franchisee *
Address of the franchisee *
Pin No *
Contact No/Mobile No *
Email Id *

BANK DETAILS

Bank Name *
Branch Name *
Account Holder Name *
Account Number *
IFSC Code *
Type of Account * Savings Current

INFRASTRUCTURE DETAILS

Total Number of Computer *
Total Number of Operators/Employees *
Computer peripherals * Inkjet
Laser
Scanner
Webcam
Biometric Devices * Aadhat Kit
Single Iris
Biometric Finger Devices
Other Devices * Pin Pad
Micro ATM
Tablet
Smart Phone
Internet Connection * Yes No

DOCUMENTS REQUIRED

Trade License/Registration Certificate *
Address Proof *
Centre Out Side Photo *
Must be Geo Tag, Through Android Mobile, JPG Format, Maximum 50 KB Size
Centre Inside Photo *
Must be Geo Tag, Through Android Mobile, JPG Format, Maximum 50 KB Size

PROPRIETOR DETAILS

Applicant Name *
Gender * Male Female
Date of Birth *
(DD/MM/YYYY)
Marital Status * Married Unmarried
Applicant Photo *
JPG Format, Within 10KB Size
Mobile Number(1) *
Mobile Number(2) *
Email ID *

FINAL SUBMISSION


Our Team

Gopal Bera
CEO
Nisha Sarki
Relationship Manager
Chhanda Barik
Mobilizer
PRIYA BISWAKARMA
IT Co Ordinator
ANINDITA ROY
IT Co Ordinator
DEBIKA SUBBA
IT Co-Ordinator
Mousumi Pal
Tele Caller
ARPITA CHAKRABORTY BANERJEE
IT Co Ordinator
Jharna Mallick
Caustomer Care Executive

Contact Info

Visit Us

At-Peerbaba Tower,1st Floor, OT Road, P.O-Inda,P.S-Kharagpur Town, Dist-Paschim Medinipur, State-West Bengal,Pin- 721305

Mail Us

ashadippsc@gmail.com
ashadippublicservicecentre@gmail.com

Call Us

+91 8918726833

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