FRANCHISE APPLICATION FORM

BASIC DETAILS (Please write in CAPITAL letters)

NAME OF APPLICANT:

NIC# (OLD): NIC# (NEW):

EMAIL: ______GENDER: M □ F □

EDUCATION

QUALIFICATION / INSTITUTE / YEAR OF PASSING

ADDRESS: ______

CITY: ______PTCL # (with area code): ______MOBILE: ______FAX: ______

PREFERRED MODE OF CONTACT: PTCL □ MOBILE □ EMAIL □

IF EMPLOYED

DESIGNATION: ______COMPANY NAME: ______

ADDRESS: ______

MONTHLY SALARY (PKR): ______(In case you have retired or are planning to retire, please fill in the above information on the last job held and check the box below)

RETIRED □

IF ALREADY IN BUSINESS: SOLE-PROPRIETORSHIP□ PARTNERSHIP□ PUBLIC/PVT LTD.□ FRANCHISE/DEALERSHIP□

NAME OF COMPANY: ______

ADDRESS: ______

TELEPHONE: ______FAX: ______

YOUR DESIGNATION IN THE COMPANY: ______

NATURE OF BUSINESS: RETAIL□ WHOLESALE/DISTRIBUTION□ SERVICE INDUSTRY□ CONSULTANCY□

OTHER (Please Specify): ______BUSINESS EXPERIENCE (Yrs.) ______

TYPE OF PRODUCT: CELLULAR □ FMCG□ ELECTRONIC GOODS□ OTHER (Please Specify): ______

APPLYING FOR PTML’s FRANCHISE OPERATION AS: SOLE-PROPRIETORSHIP □ PARTNERSHIP □ PUBLIC/PVTLTD □

IN CASE OF PARTNERSHIP/PVT.LTD.CO.NAME OF THE PARTNERS/DIRECTORS

1.______2.______

CITY APPLIED FOR: ______REASONS FOR APPLYING TO PTML: ______

WILL YOU CONDUCT THE FRANCHISE: PERSONALLY □ DELEGATE□

DO YOU HAVE A SITE: YES□ NO□

I HEREBY CONFIRM THAT ALL THE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE.

SIGNATURE: ______DATE: ______

Requirements

·  ORIGINAL and photocopy of DO/PO worth Rs.10,000 in the name of “PTML” as Application Processing Fee

·  ORIGINAL and photocopy of filled application form

Please Note

·  Application processing fee is non-refundable

·  Cheques are not acceptable

·  Please mark the name of city applied for on the right-hand corner of the envelope

·  You can apply for only one city on one Application form

·  All applications should be addressed to S&D Operations, Pak Telecom Mobile Ltd.(Ufone), 2nd floor, Razia Sharif Plaza, Eastern Half, Blue Area, Islamabad

·  Pak Telecom Mobile Ltd. will reserve the right to accept or reject any or all applications without assigning any reasons and its decision shall be considered final

Last date for submission of applications is September 24th, 2012.