Center / Clinic name *

Country

Primary contact — Full Name *

Title / role *

Email *

Phone / WhatsApp *

Legal & Business Standing

Business Standing

Business-license / registration number *

Business-license certificate — upload *

Click to upload

Ownership structure & key decision-makers Who owns the center, and who would be the decision-maker for this partnership?

Years in operation *

Business history (optional)

Accreditations / professional memberships (optional) Any local medical/aesthetic associations you belong to.

02 Facility & Infrastructure

Help us picture your space.

Classroom capacity (max trainees) *

Practical / hands-on training rooms *

Equipment available for hands-on training *

AV equipment for lectures *

Projector, screen, mic/sound, recording capability, etc.

Floor plan — upload (optional) *

Click to upload

Photos or videos of the center, or a virtual tour *

Click to upload

Upload photos/videos, or paste links (YouTube, Google Drive, Matterport, etc.)

Paste a link (e.g.virtual tour URL)

Clinical & Medical Credentials

Your center's medical standing and instructor bench.

Is this a licensed medical facility / clinic? *

Yes

In progress

Instructors

Full name/ Specialty/ Qualifications/ License number

Do you have local regulatory approval to conduct medical training? *

Yes

In progress

Malpractice / liability insurance coverage *

Briefly describe your current coverage.

04 Market & Experience

Your track record and reach.

Prior experience running medical / aesthetic training programs *

If none, please write "None."

Other organizations / brands you've partnered with (optional)

Target audience / existing network *

Doctors, dentists, nurses, etc. you can draw trainees from.

Local marketing capability *

Digital presence, local doctor networks, social following.

05 Regulatory Landscape

Requirements for foreign training providers in your country.

Local requirements for foreign medical training providers to operate *

e.g. special permits, ministry approvals, licensing bodies involved.

06 Commercial Terms Readiness

Rough numbers help us plan together — nothing here is binding.

Proposed course pricing in local currency *

Rough estimate is fine, per program if it varies.

Volume / frequency you could realistically host *

e.g. number of Diploma cohorts per year.

Anything else you'd like us to know? (optional)