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Adobe Scan 17 May 2025

The document is a franchise application form for Campa Cola, detailing the requirements for applying as a Super Stockist, Distributor, or C&F. It includes sections for personal information, professional background, proposed business setup, and financial details. Applicants must provide a completed form, CV, business card, and pay the respective registration fees.

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rahulkumar5668h
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12 views5 pages

Adobe Scan 17 May 2025

The document is a franchise application form for Campa Cola, detailing the requirements for applying as a Super Stockist, Distributor, or C&F. It includes sections for personal information, professional background, proposed business setup, and financial details. Applicants must provide a completed form, CV, business card, and pay the respective registration fees.

Uploaded by

rahulkumar5668h
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Apply for

CAMPA
1. Super Stockist 2. Distributorship 3. C&F
Franchise Application Form:
Guidelines:
1. Please enter all relevant details. Do not keep any details
vacant/unfilled.
2. In case of questions with multiple options, please tick the
appropriate answer.
3. In case you wish to provide any additional information, please
attach a separate sheet.
4. Attach your current updated CV and business card along with
this application form.

Franchise Application Form:


Title (Dr./Mr./Miss./Ms.).Shubh
Full Name: Shuh auga
RusMaga pnadah inods 486226
Telephone/Mobile no. 88356oIS0
Email: Shakh aupla Sll1hnocon
Date of Birth: 13o4 RO02
Gender: M F (Circle as appropriate)
married: Y (Circle as apprópriate)

SECTION: PERSONAL FACT SHEET


Education Qualification (beginning with most recent)
Qualifications Year of Passing Name of the Institute

MOA
Qo23

Current Occupation: (Please tick)

A) Service B) Bussiness ) Both


To be filled in by those in
service
Name of the current employer:
Designation:
Previous Work Experience:
Period Organization Name Designation Responsibilities

All informtion provided here will be kept confidential and willnot


be used for any
other purpose to be filled in by those in business:

Company Proprietary/ Nature of Products/


Name(s) Partnership/Business Years in Number Turnover (Rs.)
Private Ltd./ Services Business of people
Public Ltd. offered Employed

Last 3 Year

Does your professional background involve any of the following? (Please tick the
appropriate box)

1.Marketing/ Sales 2.Health care

3.Education/ Training 5.Profit center Management


5.SmallBusiness Mgmt.
Campa Cola Distributorship Registration Fee :- Rs. 25.500.00/. GST. Included (Retungau
Gampa ola Super Stockist Registration Fee : Rs. 49.500.00/- GST. Included (Refundable)
Campa Cola C&F Registration Fee :- Rs. 1,49,000.00/- GST. Included (Refundable)
Mode of Payment: -NEFT RTGS IMPS
MOBILE BANKING.

Are you currently associated with any professional group/ association?

Yes No

If yes,give details:
SECTION II: THE PROPOSED CENTER?

How do youpropose to set up the center?

Proprietorship Partnership Private Ltd.

Public Ltd. Society Trust

Is the Proprietorship/Parnership/Company/Already in existence?

Yes No

If yes, what is the name of the Business/Firm/Company


City Town where you propose to setup the new venture
Located in the state of
when do you propose to setup the new venture?

With in 3 months Next 3 to 6 month Immediately

Please mention the area where you want to work

Chakgha pincodo- y86226


Do you already possess a site?
Yes No

any other purpose (If no, do youhave as it in mind?)


Yes No

Please give details of the site:


Location:
Nature of Period of Lease Tiles/Carpet Area
Agreement* Commercial Area/
Ownership/Rental/ ResidentialArea
Long Term Lease (Address)

From: Je 2525 ldondno,S, Ruroni


Rordrd To:
t inia

Incase youdo not have a site, do youplan to take on rent?


Yes No

If yes, with in how many months?


How much funds are you willing toInvest?

1-5 Lakh 5-10 Lakh


10-20 Lakh 20-30 Lakh

Bank Account Details through Which You Run the Campa Cola Business.

Bank AccountHolder Name:..hubh..Goypla


Account N u m b e r . . . 1 1 3 1 1

IFSC Code... S&INOoo2838.. Bank Name:Sho bo ot India


What efforts/ Initiatives would you put in to make this business a success?
noxinm tine ond eors o Yhis businss

Poruen in
Why should Campa Colà consider you as a business partner.
Conpa csla Shau)d ronid
Connaetin

Cogling
*Registration Charges will be applicable after receiving Approval Letter/LETTER OF
INTENT

Date: os/R825
Signature: Shuóh ra@la
All information provided here willbe kept strictly confidential and will not be used for other purpose.

Campa Cola Reliance Industries.


Registered Office i- 3rd Floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400 002,
India.

CIN NO -: U15541DL1983PTC016033

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