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.
Email address *
Personal Information
Full Name (As per Identity Card) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Contact Number *
Your answer
Residential Address *
Your answer
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?
Your answer
Business Information
Business Information *
Required
Nature of Business (please state)
Your answer
Select Your Business Experience Level *
Required
Please list all restaurant & food service related businesses in which you have an ownership interest or involvement below:
Your answer
Financial Information
Income from current occupation (per year)
Your answer
Income from other sources (per year)
Your answer
Please explain other income
Your answer
a. Individual Liquid Assets (Cash, Stocks, etc.)
Your answer
b. Individual Fixed Assets (Home, Car, etc.)
Your answer
c. Individual Total Assets (a+b)
Your answer
d. Individual Liabilities (Mortgages, Loans, etc.)
Your answer
Your Individual Total Net Worth (c-d)
Your answer
Would this business be your sole income source?
Your answer
Is there any other financing which is not included above?
If yes, how much financing is available?
Your answer
Type of currency
Your answer
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.
Your answer
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?
If not, you may skip this section. Otherwise please complete all relevant sections below.
Your answer
a. Investor 1 Full Name (As per Identity Card)
Your answer
b. Percentage of Ownership *
Required
a. Investor 2 Full Name (As per Identity Card)
Your answer
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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