Business Opportunities
  Sub-license Application Form





Please complete the form below. Be sure that all the data provided is correct.

Personal Data
Name in full :
Gender :
Date of birth :
Age :
I/C No :
Current occupation :
Address (Home) :
Address (Office) :
Tel (Home) :
Tel (Office) :
Hand phone :
Marital status :
Name of spouse :

 
Name of Children
Age
Gender
1
2
3
4
5
6

Working Experience :
How did you hear of Merry Maids? Source from : :
     
Financial Data
What is your approximate net worth? :
How will you obtain cash and / or credit to manage the investment required? Please specify :
     
References
Reference 1
Name :
Address :
Relationship :
Contact No :
Year Known :
 
Reference 2
Name :
Address :
Relationship :
Contact No :
Year Known :
 
Business History
Do you own a franchise business?
Yes If yes, please specify
No  

   
Have you ever failed in business? Compromised with creditors or filed bankruptcy?
Yes If yes, please specify
No  

   
Is there any litigation pending against you or any business interest you might have?
Yes If yes, please specify
No  

   
Have you ever committed any crime or offence against law or regulations?
Yes If yes, please specify
No  

   
First choice for your territory location :
Example : Selangor / Ampang

Second choice
:
     

 
 
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