NICE Foundation

Franchisee Form

Instructions: Fields marked with * are Mandatory Fields.

Full Name of Applicant *

Gender *

Date Of Birth * (DD-MM-YYYY)

Enter In Format (DD-MM-YYYY) otherwise application will be rejected

Email ID *

Mobile Number * +91

Alternate Mobile Number +91

State *

District *

Taluka / Tehsil / Block *

House No. / Building / Street / Premises / Area / Post Office *

PIN Code *

Aadhaar Card No *

PAN Card No *

Select Department For Franchisee In NICE Foundation *

Name of Business *

Business State *

Business District *

Business Taluka / Tehsil / Block *

Business Building / Street / Premises / Area / Post Office *

PIN Code *

How Much Sq. Ft. Area *

How Many Computer Systems *

Facility At The Center *

Internet Connectivity Printer Scanner Webcam Biometric Device CCTV

Instructions For Images *

1.Allowed Only PNG, png, JPEG, jpeg, JPG, jpg.
2.Size Of Should be image less than 2 MB
3.Image Height & Width Should be less than 4608px X 3456px.

Upload Self Photo *

Upload Center Photo *

Upload Photo ID Aadhaar Card *

Upload Photo ID PAN Card *

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