MediTECH Logo
Home
Overview
Courses
Feedback
Contact
Franchise Program
Sitemap
Image
Enquiry
 

Our Vision
   
  Why MediTECH
   
  Our View Points
   
  Spreading our network
   
  Reasons & Benefits
   
  Medical Courses
   
  Engineering Courses
   
  Franchisee Fee Plan
Distribution of Cities
 
   
  Apply Online
   
  Download Form
   
  Terms & Conditions
 

 
 

Franchisee Enquiry

* indicates the required fields (If the fields does not apply for your case, please specify N/A)

Personal Information
Full Name *
Father's / Husband's Name *
Address *
City / Town *
Pin *
State *
Telephone
(Include the City Code)
Office *
Residence *
Mobile
Fax
E-Mail *
Qualification

Infrastructural & Financial Information
1.) Structure of the Business Entity for Franchise Operation*
 
Proprietorship Firm
 		 Partnership Firm
 		 Private Limited Company
 
Public Limited Company Other (Specify)
2.) Choice of City for Franchise Center*
 
State City Category
If your State or City/Town is not in the list, specify here
 

State
City
3.) Current Infrastructure, which can be made exclusively available for MediTECH Institute operations*
 
a.) Whether having any premises     Yes      No
 
b.) If Yes, nature of premises
 
Owned
 		 Single Ownership
 		 Multiple Ownership
 
Rented / Leased Joint Not Applicable
4.) Covered Area (in sq. ft.)*     1000-2000      2000-3000      More than 3000     Not Applicable
 

Demographic Details
City / Town Name *
City Code *
Population (Lacs) * Estimated Numbers
Other satellite cities/towns from where students regularly come for studies in schools, colleges.
Professional coaching institutes or entrance exam coaching institutes or can come.
 
  City Population (Lacs)
1. *
2.
3.
4.
Education Industry : Activities & Analysis (Estimated Numbers)*
 
No. of Schools
Students in Class XI/XII
Students Appearing in Medical & Engineering Entrance

 

  
 

Best viewed with Internet Explorer 6 with 1280 by 1024 pixels.