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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

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

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

Feel free to write your query


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