Franchise Application Form Applicant Information Full Name of applicant ID of applicant Trading name of entity Registration of entity Physical Address Address Line 1 Address Line 2 Address Line 3 Code Postal Address Address Code Telephone: Landline Mobile Email Trade References Kindly supply the names and telephone numbers of at least two trade references and account numbers. Reference 1 Supplier Account number Monthly payment (R) Reference 2 Supplier Account number Monthly payment (R) Shareholders/Partners Information Kindly supply the full name/s and ID of all partners/shareholders and indicate their percentage ownership in the business/entity. Shareholder 1 Full Name ID Percentage shareholding Shareholder 2 Full Name ID Percentage shareholding Who will be involved in operations full-time? Franchise Experience & Legal History Have you been involved in any franchise business (current or previous)? Have you ever been found guilty of any criminal offence? Have you ever been under judicial administration or insolvency? Business Questions Why are you interested in Volumicious franchise? What is your experience in Hair Treatment Salon? Personal and business goals (3 years) [textarea 3year-goals] Why do you believe you’ll operate a Volumicious Salon successfully? Assets and Liabilities Supply a brief statement of Assets and Liabilities Assets Item 1 Value (R) Item 2 Value (R) Item 3 Value (R) Liabilities Item 1 Value (R) Item 2 Value (R) Item 3 Value (R) Location Preferences In which town/city are you interested and why? Do you have a specific site? Financing Plan How do you plan to finance the franchise business? Own capitalBond on propertyBank loanOther If other, specify: *Volumicious requires you to have at least 50% unencumbered funds and the balance to be funded.* Declaration I/We declare that the above is true and correct. I confirm that all the information provided is accurate to the best of my knowledge. I understand that any misrepresentation may result in rejection. I authorize Volumicious to verify the info. Full Name Date