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Franchisee Registration Form

*Note : Strictly for office use only

Thank you very much for showing interest in our franchisee. As we are No 1 generic medicine franchisee company having more than 1400 stores across PAN INDIA.

What are the requirement for Franchisee ?

Investment - You should be able to invest 8 to 10 lakh rupees with expandable capital of Rs 3 to 4 lakh Required - 1 or 2 pharmacist Space - Minimum space of 150 sq feet ( Basement or semi basement not allowed) Location - Should be on main road of the city or market place etc. 100% Documentation & Licensing - As per FDA Guidelines
Select Franchisee Type :*
Applicant Name :*
Type Of Firm :*
Proposed Name Of Franchisee:* Not required for Enquiry
Shop Prospected Address :*
State :*
District :*
City :*
Other City :
Pincode :*
Email Id :*
Mobile No :*
Landline No. :
Whatsapp No for Communication :*
Residential address of owner with pin code :*
Date Of Birth:*
Age :*
Education Of Owner :*
Present Occupation Of Owner:*
Annual Income :*
Address Proof:(With Photo) * please attach mobile photo or scanned copy of Adhar Card / Ration Card File size Less than 5 MB
ID Proof :* please attach mobile photo or scanned copy of Adhar Card / PAN Card (Compulsory) File size Less than 5 MB
Any Illegal Matters :*
Residence From :*
Marital Status :*
Distance From Nearest Existing Franchisee :*
Ready To Invest 8-10 Lakhs :*

Payment Details

If you have already paid Franchisee Fees, then fill the following details,
otherwise click here to make Online Payment

UTR No.:*
Bank Name :*
Transaction Date.:*
Account Holder Name:*
Amount:*
Terms & Conditions

Terms and Conditions

  • I understand and agree that the statements in this proposal form shall be the basis of the contract between me and Genericart Medicine Pvt. Ltd.
  • I further declare that the statements in this proposal are true and I have disclosed all information which might be material to the company. I declare that I have read the sales literature of the proposed shop and understood the terms and conditions associated risks and benefits which I propose to take.
  • I declare that the amount paid have not been generated from the proceeds of any criminal activities / offences and I shall abide by and conform to the Prevention of Money Laundering Act, 2002 or any other applicable laws.
  • I declare that the company has disclosed and explained all the information related to shop and I declare that I have understood the same before signing this proposal form.
  • I hereby authorize the Company to conduct screening/confirmation/reconfirmation of overall status of the shop owner if required.
  • I also hereby agree and authorized the Company to access my data maintained by the Unique Identification Authority of India (UIDAI) for KYC verification and other eKYC services purpose.
  • I herewith declare that I have understood & read all your term, condition & FAQ of agreement as well as I am aware that the franchise fee is non refundable in any case. I am willing to purchase franchise accordingly. Kindly prepare agreement per details mentioned above.
  • I herewith declare that I do not have any criminal background as well as there were no civil judicial cases pending/running against me.
  • I herewith declare that I am ready to hire 1 or 2 pharmacist as per requirement.
  • I am aware that minimum space required for shop is 150Sq.ft. and Basement/Semi basement not allowed in any condition.
  • I herewith declare that I am ready to do all the documentation as per FDA Guidelines.
  • I herewith declare that I am aware that if I will not start my shop within 120 days from the date of registration in such case Company can appoint another shop in same location.

I have understood all above points which are already present in agreement.

Terms & Conditions accepted will be considered as “Signature”.

Business

Business Opportunity, Genericart Medicine
You are investing in an industry which represents a basic need of humanity. Health related expenses are going up worldwide, in virtually all countries. Know More