Franchise Request Form
Is your application for a
Single Centre Franchise
Multiple Centre Franchise
Please Tick Whichever Is Relevant
Are your premises in a Residential or Commercial Area?
Is it owned by you?
The Sq. feet area within which you plan to start a “Medanta Lab”.
Who will look after the Centre?
What income-group of people reside within 2 Km. radius from where you intend to start the centre?
Are you opening a Single Franchise Centre or Multiple Franchise Centers?
How many house hold are available in 2 Km. radius of center.
Location/s of your Center