Franchise Application

In addition to request additional information, this application is used for purchasing a new franchise, an additional franchise, or the purchase and transfer of an existing store. The filing of this form does not obligate the applicant to purchase or the franchisor to sell a franchise or location. Complete in full and do not use abbreviations.
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Email *
Personal Information
Full Name (As per Identity Card) *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Contact Number *
Residential Address *
Has a judgement/lien/bankruptcy been filed against you or have you been involved in any litigation proceeding within the last 5 years *
Educational Background
What is the highest level of education you have achieved? *
Did you receive a degree from a college or university? *
Type of degree you received?
Business Information
Business Information *
Required
Nature of Business (please state)
Select Your Business Experience Level *
Required
Please list all restaurant & food service related businesses in which you have an ownership interest or involvement below:
Financial Information
Income from current occupation (per year)
Income from other sources (per year)
Please explain other income
a. Individual Liquid Assets (Cash, Stocks, etc.)
b. Individual Fixed Assets (Home, Car, etc.)
c. Individual Total Assets (a+b)
d. Individual Liabilities (Mortgages, Loans, etc.)
Your Individual Total Net Worth (c-d)
Would this business be your sole income source?
Is there any other financing which is not included above?
If yes, how much financing is available?
Type of currency
Restaurant Operations
 If qualified, when will you invest in a franchise? *
How involved will you be in operating the restaurant? *
Please state your proposed Fried Chicken Master Location.
Investors
(IMPORTANT NOTE: In Malaysia, all investors must be named on any franchise agreement executed in connection with this application, with exception of certain first degree kin. Outside of the Malaysia we may require that some or all of the investors be named on any franchise agreement executed in connection with this application. All investors to be named on the franchise agreement must fill out a separate application.)

*Investors are individuals who, in connection with any purchase of a franchise associated with this application, will: 1) contribute money toward the purchase of this franchise; 2) have ownership interest in either the franchise or any entity assigned the right to operate the franchise; or 3) act as co-borrower, co-signer or guarantor of a loan associated with the franchise
Will you have Investors?
Clear selection
If not, you may skip this section. Otherwise please complete all relevant sections below.
a. Investor 1 Full Name (As per Identity Card)
b. Percentage of Ownership *
Required
a. Investor 2 Full Name (As per Identity Card)
b. Percentage of Ownership *
Required
Disclaimer
By clicking Submit, I consent to receive and send any documents for franchise disclosure purposes through electronic and have read the above disclaimer.
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