Spectrumrise

Application of Franchise

APPLICATION FORM FOR AFFILATION

Institute Location :

Study Centre Applied For (All Fields are Mandatory *)

State

District

City/Town/Village

Institute Information :

Name of Institute

Year of Establishment

Status of Institute

P.O

P.S

Postal Address

Institute Contact Details

Business Phone Number

Whatapp Number

Email Address (Email ID will be for Login)

Information About Centre Head :

Name of the Centre Head

Designing / Position Hold of the Centre

State

District

P.O

P.S

Postal Address of the Centre Head

Mobile

Email Address of the Centre Head

Date of Birth of the Centre Head

Nationality

Religion

Sex

Marital Status

Educational Qualification of the Centre Head

Professional Experience of the Centre Head

Centre Director OR Centre's Pan No.

Centre Director Aadhar No

GSTIN No.

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Jotmuri,Daspur,West Bengal

info@spectrumrise.in

+91 8553754904

A/c Name:	SPECTRUMRISE PRIVATE LIMITED
A/c Type:	CURRENT ACCOUNT
Account Number:	0188202100002714
Bank:	PUNJAB NATIONAL BANK
IFSC:	PUNB0018820
Branch:	DASPUR,WB
UPI ID:	-----------