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    Name -

    (Firstname)
    (Middlename)
    (Surname)
    Email -
    Contact No -

    Financial Information

    Particulars Annual Income (Rs. Lacs)
    Salary
    Bonus/Commission/Incentive
    Property Income
    Dividend/Interest
    Business Profit
    Other Income (please specify)
    Total
    Assets Rs. Lacs
    Cash on hand
    Shares/ Mutual Fund/ FDs
    Property (current market value)
    Motor Vehicles
    Others (please specify)
    Total
    Liabilities Rs. Lacs
    Loans
    Mortgages
    Accounts/Bills Due
    Other Debts/obligations (specify)




    Total

    References (excluding relatives)
    Name Address Contact No. Occupation
    If you invest (x) amount how much ROI do you expect on it every year? - *
    1. I/We, declare that I/We do not have franchise of any other business directly, indirectly or through my/our relatives and associates similar to the one offered by Anvayaa.
    2. I/We, hereby certify that I/We shall remain the applicants and if there is any change in the composition of applicants before signing of agreement or opening of franchise Outlet. I/We hereby agree to get the new applicants as well as the new form of organization approved by Anvayaa. We agree to the rejection of this application if the changes are not approved by Anvayaa.
    3. I/We certify that all the information in this application form and on any attachments thereto is true and accurately represents my/our current and continuing financial conditions. I/We understand that any misrepresentation in this statement may result in rejection of this application.

    Franchise Manager

    Anvayaa Kin Care Pvt Ltd

    Hyderabad
    (Name of applicant) (Signatures) (Date)

    Note – This Document is digitally shared by Anvayaa and acknowledgement will be successful after receiving signed copy from other party.

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