PERSONAL INFORMATION:
Full Name:      Date of Birth:     Place of Birth:   Address (Res):     Phone # (Res):     Mobile #:   Fax #  (with city code):   Email Address:   Nic # (New):   Name of Business:   Nature of Business:   Number of Partners:   Monthly Income  From all sources (Rs.):   Numbers of Employees Emloyed by you / your company :     Name of Bank:   Bank Account #:   Branch & Address:   Phone # (Office)  (with city code):   Fax # (Office)  (with city code):   Email Address:   Would You Manage Telecard Franchise Saprately or Alongwith Your Present Number:     Are You a Local Resident For the Area You Are Applying for ?   Yes:   No:   In Case of Yes, How Long / Since When Have You Been Residing in this Area:     Are you thoroughly aware of the geography and of your area and its poeple ?   Yes:   No:   Which language can you speak and understand (Please appropiate box)   1. Yes: No:   2. Yes: No:   3. Yes: No:   4. Yes: No:   Please mention the area where you are interested in getting telecard franchise (Please do not use the words like Tehsil or District write name of the areas) :     Would you wish to get franchise if your personal Name, Son, Brother or in the Name of your Company:     Please name the Person, Company:     Do you have the card distribution of telecard compatitor companies? If YES then # of payphones and # of PPS you are operation / serving. 1. 2. 3.   Will You forego / leave all other business if telecard's franchise is offered to you?   Yes:   No:   Do you have any other acquaintance with any of other Telecard Limited Employee ? (Present or Former) in the form of Blood / Family / Friend ? 1. 2. 3.   Your Desire / Decision to become telecard franchise was the result of: Telecard Press Advertiement:     If YES, Please note down the name of Newspaper and Its Date:     Motivation by Telecard Employee :     Direct contact by Telecard Zonal Manager / Zonal Staff or Head Office :   I UNDERTAKE THAT THE INFORMATION PROVIDED BY ME IS CURRENT AND CORRECT:     Name of Applicant: Date: