| Information provided will be treated with the strictest confidence. |
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| APPLICANT DATA |
A. INDIVIDUAL APPLICANT (INDIVIDUAL WHO WANTS TO BUY THE FRANCHISE)
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| Name |
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| Year of Birth |
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| Nationality |
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| Marital Status |
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| Handphone |
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| Office Phone |
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| Email |
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| Fax |
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| Address in Resident Country |
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| Highest Academic / Professional Qualification |
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| Present Occupation / Business Engaged In |
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| Employers Name / Name of own Business |
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| B. CORPORATE APPLICANT (COMPANY THAT WANTS TO BUY THE FRANCHISE) |
| If Company is new or does not have business or financial track record, please complete Part A above using information pertaining to the principal partner. |
| Name of Company / Business |
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| Country of Incorporation / Registration |
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| Address in Resident Country |
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| Telephone |
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| Fax |
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| Email |
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| Website |
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| Year of Incorporation |
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| Incorporation No. (if any) |
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| Entity Type |
Private Limited Public
Partnership Sole Proprietorship
Others
Other, please specify |
| Capitalisation(Paid-Up) RM |
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| Previous Financial Year's Sales Turnover RM |
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| . |
FY To |
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| SHAREHOLDING STRUCTURE: |
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| Please indicate names of individuals and / or companies and percentage of shares held. |
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| Name of Intended Managing Principal (person who will manage the franchise) |
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| Age |
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| Marital Status |
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| Nationality |
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| Current Occupation / Designation within Company |
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| OTHER INFORMATION |
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| Amount of Funds Available to Invest in The Business RM |
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| Main Source of Funds |
Internal
External (e.g. banks) |
| Which Type of Franchise are you Interested to Obtain? |
Single Unit
Multiple Units
Country Master
Area Master (i.e. part of a country) |
| In what country (s) / territory(s) do you plan to operate the franchise?
|
1. |
| 2. |
| How familiar are you with franchising? |
Very
Fairly
Little
Not |
| Have you operated a franchise business before? |
Yes
No |
| If yes, please state |
| Franchise Name |
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| Country of Origin |
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| Nature of Business |
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| Period of Franchise |
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| How familiar are you with the operation of a retail or similar business? |
Very
Fairly
Little
Not |
| Have you operated a retail or similar business before? |
Yes
No |
| Description of Business |
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| Location of Business |
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| Period of Operation |
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| Do you presently own or rent premises which may be suitable for operating a Balloon Buzz Party Centre™ Outlet? |
Yes
No
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| Location |
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| Monthly Rent (if leased) RM |
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| Briefly, what are your reasons for wanting to acquire the Balloon Buzz Party Centre franchise? |
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| Name some strength that you think will make you a Good Franchisee. |
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| Other relevant Information |
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| DECLARATION |
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I certify that all information provided herewith is true and accurate to the best of my knowledge. I understand that should any of the above information prove to be false, my application for the Balloon Buzz Party Centre™ franchise will be terminated immediately.
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| Signature |
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| Position (For corporate applicant) |
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| Date |
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