Enrollment Form for Franchisee Partner

Prior Experience:
 

Basic Details

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(Only pdf, jpg , jpeg & png allowed.File Size maximum 2 MB )

Area of Interest to provide internet connectivity:

In Gram Panchayats
Block Gram Panchayat Service Area, Preference and Number of Connections Action
In Block (Revenue Villages)
Block Revenue Villages No. of Connections Action

Complete Address for Applicant (Individual/Firm/Company):
ID Proof:
Address Proof:
Bank Details
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