Wellcaremeds - Health Experts

Franchise Partner Enrollment

Enter information in English and in CAPITAL LETTERS

Full Name*

Gender*

Date of Birth (DD/MM/YYYY)*

Mobile No.*

Landline No.

Email*

Address*

City*

PinCode/ Zip Code*

Aadhaar No*

GST No.(If applicable)

PAN No.(On Boarding Charges:)

Franchisee Name*

Designation*

Amount: (Non-Refundable) Payment Mode: Online Cheque Bank Details:

Bank Name*

Account No.*

Branch Name*

IFSC Code*

Upload Require Documents

Upload Cheque Leaf

Upload Bank Passbook/Statement

Upload PAN

Upload Aadhaar *

E-Signature*

Commission Structure Applicable

Particulars	Pharma		ML Essential	OTC	Labs
Particulars	Franchisee APP	Web/App	ML Essential	OTC	Labs
No promo	7.0%	6.0%	15.0%	5.0%	15.0%
Promo	5.0%	4.0%	10.0%	2.5%	10.0%

T & C for commission structure
1. All the commission mentioned above will be based on collection amount.
2. Wellcaremeds Online Pharmacy Pvt. Ltd. reserves the right to revise the commission structure & will be informed to Franchisee Partners with prior notice through Email/SMS/Calls/WhatsApp/Portal.
3. The commission is subject to applicable TDS deductions.
I being the authorised representative of the Agent have read, understood and agreed to the above terms and conditions:
I hereby, consent to all the terms and conditions.

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Franchise Partner Enrollment

Franchise Partner Enrollment

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Mahik Book pro

Mahik Book pro

Mahik Book pro

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