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INTERNATIONAL FRANCHISE APPLICATION FORM

1. APPLICANT S PROFILE

1.1 Authorized Applicant’s Contact Details

Name

Phone

Mobile

Email

Company

Position

Company Website

Company Address

1.2 Franchisee Company Profile

Franchise Country/Territory

Company Name

Company Address

Company Business Type

Year Establish

Main Business Sector(s)

Main Place of Business

Names of Shareholders**

Company Website

Registered Capital

Ann. Rev. & Pft.

Total Assets

Total Liabilities

Total Equity

2. PROPOSED AREA

2.1 Location of Proposed Area

Number of Proposed Locations

Proposed Location

Location

Month/Year plan to open store

#1

#2

#3

#4

#5

#6

2.2 Detail of Proposed Location

Proposed Area & Address

Description Proposed Area

Size of Proposed Area (Square meters)

Estimated Average Footfall

Is the Area Owned or Leased

Rental Cost (Per Square Meter)

Other Cost (Per Square Meter)

Description of Surrounding Area

Is Car Parking Available on Site

If Yes, for how many cars

3. ADDITIONAL INFORMATION

Please list any other businesses that are owned and/or operated by the Applicant and/or its owners

Who will manage the day to day operations?

How will you finance the franchise development?

Why do you believe the Applicant is suited to develop and operate the Franchise?

Is the Applicant prepared to comply with Index core brand values and standards of operations?

Yes I have read the above statement and I accept.

BUSINESS ENTITY:

SIGNED BY (PRINT):

DATE:

TITLE: