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The purpose of this request for consideration is for general information in evaluating your
qualifications to be considered for a Etihad Salehia franchise.This is not an application. Should
you appear to qualify and a mutual interest develops, we will request additional information.

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 Applicant's Data

(Please use your personal residence information)

Name: *
Email: *
Date of Birth:    Click Here to Pick up the date    (DD-MM-YYYY)
Address: *
City:  *    
State: *  
Zip: *  
Years There: 
Business Phone: 
Home Phone: *
Best time to Call: 
Marital Status: 
Spouse Name:

 
Business Experience

Company Name : *
Type of business : *
Position held: *
Dates position held  

Your most significant accomplishments  *
Present/Most Recent Position:*
Previous Positions:
Have you ever owned a business?
Yes      No
If Yes, what type of business?
Other business affiliations: (Officer, Director, Partner, etc.)

Preliminary Financial Disclosure

(Please list amounts in US Dollars, excluding home, personal automobile, personal property.)
Assets:  $
Liabilities:  $
Net Worth:  * $

Unencumbered Liquid Assets Available:   $

List your equity in:
Personal Residence:  $
Other Real Estate:  $
Business and Management Goals
   
Would you devote full time to this business venture? Yes      No
Would your spouse be active in the franchise?      Yes      No
Would you have any business partners?     Yes      No
Why do you believe you can successfully operate this  Etihad Salehia Franchise?
Additional Information or comments that you might like to share with us in evaluating
your request for consideration:

Number of Units Desired:      Year 1-2:       Year 3-4:       Year 5-6: 

Desired opening date of first shop:    Click Here to Pick up the date   (DD-MM-YYYY)

Location Preference:
1st Choice:*
2nd Choice:

Other Information

How did you become aware of this franchise opportunity?
Trade Publication Trade Show
Internet Franchise Handbook
Friend/Business Associate
Other:

I certify that the information furnished in this Etihad Salehia Franchise Request for
Consideration is true and correct.

I authorize Etihad Salehia  to make any additional
credit/character checks which it deems necessary.

NOTE: When you press the Submit Form button, this form will be checked for completeness.
You will be asked to provide any information necessary to complete the form.

Verification code:*
(Type the verification code)
   
 
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