Name:
Contact:
City:
WILL YOU OPEN THE SHOP IN RENTED OR OWNED SPACE ?
RENTED
OWNED
DO YOU HAVE THE SHOP AVAILABLE ?
Select
YES
NO
LOOKING FOR THE SHOP
WHAT IS THE CARPET AREA OF THE SHOP THAT YOU WANT TO OPEN ?
Select
150-200
200-300
300 - 500
500+
HOW MUCH CAN YOU INVEST?
Select
10-15 lakh
15-20 lakh
20+ lakh
YOUR CURRENT OCCUPATION ?
Select
JOB/SERVICE
BUSINESS
LOOKING FOR OPPORTUNITY
YOUR INVOLVEMENT WITH THE FRANCHISEE ?
Select
FULL TIME
PART TIME
RUN BY STAFF
SOURCE OF FUNDING ?
Select
SELF FUNDED
LOAN
LOOKING FOR FUNDING
ARE YOU AN EXISTING PHARMACY?
YES
NO
Submit