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Franchise Registration Form

The document is a registration form for a pharmacy franchise. It requests information such as store location, pharmacist details, license numbers, area, and whether the space is owned or rented. It also provides information on applying for a new license and the benefits of the franchise such as lifetime fees and branding materials.

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FITI Tech
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74 views2 pages

Franchise Registration Form

The document is a registration form for a pharmacy franchise. It requests information such as store location, pharmacist details, license numbers, area, and whether the space is owned or rented. It also provides information on applying for a new license and the benefits of the franchise such as lifetime fees and branding materials.

Uploaded by

FITI Tech
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Registration Form :

1. Store Location:
 
................................................. (Area Name) ..............………………….
(Taluka/City) & ………………………………  (State)
 
 
2. Pharmacist:
 
Name of Pharmacist: ......................................... Pharmacist Registration
No.: ...............................................
 
3. FDA Retail Drug License: Yes/No
 
If Yes, please share Retail Drug License Form No.
20: ................................................ and Retail Drug License Form No.
21: .........................................................
 
4. GST No.: ................................................................
 
5. PAN CARD No.: .............................................................
 
6. Aadhaar Card No.: ........................................................
 
7. Retail Store Place: Owned / Rental
 
8. Available Shop Area: .................................(in Sq. Feet)
 
9. FOR NEW RETAIL STORE: 
 
Need to first and foremost apply for fresh FDA License (Drug License) under
your state authority which is mandatory.
 
Need to make all arrangements to open a new retail store.
 
After verifying all the documents, we will allot the Franchise
 
For Single Retail Franchise One Time Fee is Rupees 1,50,000/-
 
We at Bizzpaa Generic Medicine Franchise offering following benefits:

1.                Franchise fees for Life Time


2.                Software fees for Life Time
3.                Branding Material Kit
4. Software for billing and inventory
5. Help Hire Pharmacist and train staff
6. Efficient supply chain

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