Please complete all fields below, so that we can begin processing your IIB Partnership application. All information submitted will be kept confidential and will only be used for the purpose of evaluating your application. Any information left blank will delay your application, so please be sure to fill out the form completely. You will not be able to save your work in progress, so please make sure you have your information at hand before you start the application.

Personal Details
Name of the applicant	:
Contact address	:
City	:
Pin	:
Phone	:
Email	:
Location of the proposed business	:	Corporation Municipality Panchayath
Any Accreditations / Authorizations	:
Specify about your current business activities if any	:

Franchise Questions
Have you ever owned a franchise business?		Yes No
If Yes, please explain	:
Do you have any IT service experience?		Yes No
If Yes, please explain	:
What is your timeline for getting started?	:
Do you intend to operate your franchise personally?	:	Yes No
If No, please explain:	:
Are you interested in a multiple development territory?	:	Yes No Unsure
		Printable Version
		Application Terms and Conditions I, the applicant, understand that the granting of a IIB PARTNERSHIP is at the sole discretion of the franchisor, IRS Informatics INDIA. I further understand that any information I receive from the Franchisor or from any employee, agent, or franchisee of the IRS Informatics INDIA is highly confidential ("Confidential Information"), has been developed with a great deal of effort and expense to the IRS Informatics INDIA, is being made available to me solely because of this Questionnaire. I agree that I shall treat and maintain all Confidential Information as confidential, and I shall not, at any time, without the expressed written consent of authorized agents of the IRS Informatics INDIA, disclose, publish, or divulge any confidential information to any person, firm, corporation or other entity or use any Confidential Information, directly or indirectly, for my own benefit of the Franchisor. I authorize the procurement of an investigative consumer report and understand that it may contain information about my background, character, general reputation, mode of living, credit worthiness, and job performance. I understand that, upon written request within a reasonable period of time, I am entitled to additional information concerning the nature and scope of this report or investigation relating thereto. This authorization for release of information includes, but is not limited to, matters of opinion relating to my character, ability, reputation, and past performance. I authorize all persons, companies, corporations, credit bureaus, and law enforcement agencies to release such information without restriction or qualification to a credit bureau or security consultant selected by the franchisor and IRS Informatics INDIA in other parts of the world, to any of the above named parties and any of their officers, agents, employees, and servants. I voluntarily waive all recourse and release them from liability for complying with this authorization. This authorization/release shall apply to this as well as any future request for an investigative consumer report by the IRS Informatics INDIA.
		I agree that by submitting this application that my email address entered below is valid and shall constitute my authorized electronic signature for submission to the conditions of the application.
		I have read this Questionnaire and everything I have stated in it is true. Additionally, I understand that the information provided by me will be relied upon by the IRS Informatics INDIA.