Universal Training SolutionsI-Space, 5th Floor, Mumbai-Bengaluru Highway, Bavdhan, Pune 411021, India.

APPLICATION FORM FOR BUSINESS PARTNER

Date :

1. APPLICANT PROFILE:

TYPE OF ORGANISATION: (Pls. tick whichever is applicable) Educational Institute

Trust Society Company

Proprietary PVT Ltd Public Ltd Others

CONTACT DETAILS: Name of Company/Trust / Society / other:

Please attach Shop Act/Memorandum of Company / Trust / Society Annexure I

Correspondence Address for official records:

City

Pin Code

State

CONTACT DETAILS STD CODE PHONE-1 PHONE-2

MOBILE

EMAIL WEBSITE

&

CONTACT PERSON

DESIGNATION MOBILE

RESIDENTIAL ADDRESS

City

Alternate Email ID

TYPE OF AREA (Pls. tick whichever is applicable) (As mentioned in our business proposal)

TIER 1 TIER 2 REST OF THE CITIES

PREMISES & AVAILABILITY STATUS:

Owned Rented Leased Ready for Operations Not Yet

If Not Operational, then it will be available from: _____________In case of Lease, Leased up to: _ __________ _

Attach copy of Center Lease / Rent / Ownership deedAnnexureII

EXPERIENCE:

YEAR OF ESTABLISHMENT of Company/Trust / Society Reg. no.

EXPERIENCE in Business __________________________

Brief Details of Current Business Activity (Attach Business Profile) AnnexureIII

DETAILS OF AREA TO BE USED EXCLUSIVELY FOR UTS:

Office: Total Area in sq. ft

Type of Internet Facility: Leased Line Broadband Dialup Other

DETAILS OF OWNER/CENTER HEAD (Very Important)

NAME QUALIFICATION EXP (Yrs) APPTD SINCE SALARY

BRIEF PROFILE OF CENTRE HEAD

PHOTOS TO BE PASTED: AnnexureIV

Space for AffixingWIDE RANGE PHOTOGRAPH SHOWING THE OUTER LOCALITY, BUILDING OF THE

CENTER ALONG WITH INNER OFFICE VIEW

ANNEXURES/ENCLOSURES REQUIRED: Yes No

Annexure I Copy of Registration of Proprietary/ Company/Trust/Society

Annexure II Copy of Center Premises Lease/Rent / Ownership Deed

Annexure III Current Business Profile

Annexure IV Office Photographs

List of Other Document Enclosed:

1. PAN Card Photo Copy of Company

2. Pass port size Photograph of Director / Owner / Trustee

3. If center is approved by UTS the please mention expected launch date of the Center

I declare that the above stated information is true to my knowledge and if the center is approved by UTS after the verification of the profile and the premises, the necessary Agreement with UTS for the business partner would be initiated.

APPLICANTS STAMP & SIGNATURE

SEND THIS DULY FILLED FORM WITH ANNEXURES AND DOCUMENTS TO:

Corporate Office

Universal Training Solutions Pvt. Limited,

'ISpace', 5th Floor,Bavdhan, Mumbai Bangalore Highway,

Near Chandni Chowk,

Pune 411021www.utsglobal.edu.in

UTS Business Partner Verification Report

For UTS Use Only

Date:

NameQualificationResidential Address

Proposed Center Address

Current Business Profession

Office Space AreaWhy does he want UTS center

Highlight Strengths, if any

Why we should appointExpected date for Sign UpExpected date of Center Launch

Authorised Signatory