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Application
Mogette
Name:
Phone number:
Email address:
Date of birth:
Business owner Experience
(if applicable)
Trading name:
Nature of business:
Years of trade:
Is the business still operating:
Prefrance
Company name:
Contact name:
Phone number:
Other Background
Information
Have you or any applicable partner, officers, directors, or shareholders with your business affiliations ever:
Had any administrative, criminal or civil action alleging a violation of any franchise law, fraud, embezzlement, fraudulent conversation, restraint of trade, unfair or deceptive practices, and misappropriation of property or comparable allegations?
Been convicted of a felony or pleaded ''no contest''to a felony charge or been held liable in a civil action by a final judgment or been the subject of a material complaint or other legal proceeding such as a felony civil action complaint, misappropriation of property or comparable allegations?
If you answered "YES" to any of the questions above, please explain.
General Inquiry
Where is your intention to open the new branch, please specify country, city?
Are you prepared to comply with the procedures and the controls set by the company?
Why do you think you will be successful?
Are your intentions to work full time in the business?
Are you aware certain information provided and/ or advised to you is confidential and shall not be divulged to any third person unless the company gives approval?
How are you funding this project?
Cash
Home Equity
Business loan
Others
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