THE GEORGE TELEGRAPH TRAINING INSTITUTE

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The Heritage Scheme Application Form TRAINING PARTNER THE GEORGE TELEGRAPH Administrative Offfice 31A Shyama Prasad Mukherjee Road, Kolkata 700025 www.georgetelegraph.org +033-24754600/24752557/24765891 Fax: +033-24759696 E-mail: atc@georgetelegraph.org Main Training Centre 136 Bipin Behari Ganguly Street, Kolkata 700012 +033-22272605/22279774 Fax: +033-22461857 E-mail: queries@georgetelegraph.org THE GEORGE TELEGRAPH Page 16 of 26

The information required in this form should be typed or written in capital letters by the interested individual or the major shareholder or the authorised signatory of the proposed franchisee. This form should be completed in all respects and returned at the earliest to Director: Finance, The George Telegraph Training Institute, 31A, Shyama Prasad Mukherjee Road, Kolkata 700025. Incomplete forms are liable to be rejected. Please use additional sheets, if required. PART I: LOCATION 1. The town/city of the proposed franchisee 2. State wherein the town/city is located 3. Distance from the state capital 4. a.i a.ii a.iii a.iv b.i b.ii b.iii c.i c.ii c.iii Location of the proposed franchisee premises In centre of town/city Within 1km of town/city centre Within 3km of town/city centre More than 3km from town/city centre In a business area In an academic area In a residential area On a main road On a secondary road In a by lane (please tick as many as applicable) THE GEORGE TELEGRAPH Page 17 of 26

PART II: BUSINESS INFORMATION 1. Investment Details a. Personal financial commitment b. Corporate loan c. Loan from financial institutions d. Other sources (please specify) 2. Status of proposed centre premises (please tick from selection and attach proof) a. Self-owned b. Leased (specify period of lease) c. Rented (specify period of rent to date) d. To be purchased e. Other (please specify) 3. Space availability (please enter relevant information) a. Total built-up area (in sq.ft.) b. Total interior carpet area (in sq.ft.) c. Number of rooms d. Number of washrooms/ restrooms 4. Expected commencement of centre operations (please tick from selection) a. Within 3 months b. Within 6 months c. Within 12 months THE GEORGE TELEGRAPH Page 18 of 26

1. Full name 2. of birth 3. Postal address PART III: PERSONAL INFORMATION 4. Academic qualification 5. Professional qualification 6. Occupation 7. Years of work experience Town/City Pin Code Cell Phone Telephone Fax E-mail In service In business Self Employed Retired/Other (please specify) 8. Years of teaching/academic experience 9. Net Income After Tax 3 years turnover per annum, if in business THE GEORGE TELEGRAPH Page 19 of 26

Personal income per annum, if not in business PART IV: MARKET SURVEY 1. Approximate population of proposed location 2. Surrounding area information (enter town names; distance) 3. Academic environment Nearby towns Nearby industrial areas Nearby tourist spots of repute Number of vernacular secondary schools Number of English medium secondary schools Number of vernacular higher secondary schools Number of English medium higher secondary schools Number of undergraduate colleges 4. Media information (enter names of publications/channels) Number of regional vernacular newspapers Number of regional English language newspapers THE GEORGE TELEGRAPH Page 20 of 26

THE GEORGE TELEGRAPH Page 21 of 26