Application Form for APOnline Franchise Thank you for your interest in APOnline. Please fill up the application form below for authorized franchise. First Name Middle Name Last Name Date of Birth (DD/MM/YYYY) Gender Select Male Female Age Organization Name Resident Address1 Resident Address2 Resident District Select District Adilabad Anantapur Chittoor Cuddapah East Godavari Guntur Hyderabad Karimnagar Khammam Krishna Kurnool Mahabubnagar Medak Nalgonda Nellore Nizamabad Prakasam Ranga Reddy Srikakulam Visakhapatnam Vizianagaram Warangal West Godavari Resident Mandal Resident Pin Number Email Ex:peddysoft@yahoo.com Organization Address1 Organization Address2 Organization District Select District Adilabad Anantapur Chittoor Cuddapah East Godavari Guntur Hyderabad Karimnagar Khammam Krishna Kurnool Mahabubnagar Medak Nalgonda Nellore Nizamabad Prakasam Ranga Reddy Srikakulam Visakhapatnam Vizianagaram Warangal West Godavari Organization Mandal Organization Pin Number Telephone Number (With STD Code) Ex:04066675608 Mobile Number Type of Business Business start Date(current/future) (DD/MM/YYYY) Type of Firm Select Owner Partnership Private Others Office Space(Area in Sq. Feet) Number of Computers available  Ex:20 Connection Type Select Cable ISDN Dial-Up Connection Speed  KBPS Connection Provider  Ex: Sify etc., No of customers coming daily  Ex:100 Number of Employees  Ex: 15 Monthly Income(Rs) Premises Select Own Rented Distance from nearest APOnline Franchise KM