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Applicant Details
Name
*
First
Last
Residential Address:
*
Email
*
Contact Number
*
A little bit about yourself/your background (Preferably someone with IT background):
*
Other Information
Describe your current business activities/occupation:
*
Who is handling the operations of business: (Yourself or someone else?)
*
Would you prefer a newly set up or existing business?
*
References
Trade/Business reference:
*
Name
Contact
Name
Contact
Financial Background
Have you ever been declared bankrupt?
*
Yes
No
If you answered “Yes” to any of above questions, you must provide us with further details.
Have you ever being refused credit?
*
Yes
No
If you answered “Yes” to any of above questions, you must provide us with further details.
Have you been a director of a company that has been placed in liquidation, receivership or entered any arrangement with creditors?
*
Yes
No
If you answered “Yes” to any of above questions, you must provide us with further details.
Typically, the initial cost associated with Omni Tech franchise will range from $100,000-$500,000 depending on location/size/other relevant factors. Up to what limit you would be prepared to invest?
Declaration & Acknowledgement
I declare that all information provided in support of this Franchise Application is true and correct and I agree to update this information should any material change occur.
I acknowledge that prior to signing franchise documents, I may be provided with written and verbal Confidential Information about Omni Tech franchises and I agree to keep such Confidential Information absolutely confidential at all times, and will not divulge any Confidential Information to any third person unless Omni Tech Ltd gives prior written approval.
By ticking this box, I consent to Omni Tech Ltd exchanging my personal information with person/s I have named as a Referee and person/s I have named as my previous employer/s, if applicable.
*
I Agree
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