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Become a Franchisee

Please send application enquiries to:
Attention: Mr G.V. Mariano

Mastrantonio Holdings (Pty) Ltd
PO Box 2221, Saxonwold, 2132
Tel: +27 11 781 0808
Fax: +27 11 781 4555
Co.Reg No. 1996/009304/07

This form is intended to serve as an initial application and does not obligate either party in any manner.

APPLICANT INFORMATION

 

Personal details

 
   
Full Name:
 
   
Date of Birth: (dd/mm/yy)
 
   
Home Phone:
 
   
Business Phone:
 
   
Cellular Phone:
 
   
Fax Number:
 
   
Email Address:
 
   
ID/Passport No:
 
   
Length of time as RSA resident:
 
   
Nationality:
 
   
Country of Citizenship:
 
   
Country of permanent residence:
 
   
Marital Status:
 
   
Region/Area of interest: 
 
   
   
Education  
   
Highest level of education completed:
 
   
Degree(s) earned:
 
   
Name of college and/or Graduate School:
 
   
   

Financial

 
   

Total unencumbered cash or cash equivalent (stocks, bonds, etc.) available for investment in an M&A business:

R
   

Fair Market value of business (es) owned:

R
   
Equity in real estate owned:
R
   
Current annual income:
R
   
Name of insurance
R
   
   

Business Experience
It is important that you attach a personal resume (CV – Curriculum Vitae) including the following:

 

 

   
(a) Work experience
 
   
(b) Briefly describe the nature of business(es) owned and your involvement
 

 

   
(c) Where did you hear about the M&A group?
 
   
(d) What are your financial expectation in joining the M&A group?
 
   
   

Company details (if applicable)

 
   

Registered Name:

 
   
Registration Number:
 
   
Registered Address:
 
   
   
   

Name under which company Conducts business i.e. trade name:

 
   
Physical address from which company Operates (business address)
 
 
 
 
 
   
And if operates from multiple addresses Also physical address of Head office:
 
 
 
 
 
   

Contact person:

 
Contact details:  
Phone (W)
 
   
Fax:
 
   
Email:
 
   

Company income tax number:

 
   

Company income VAT registration Number:

 
   

 

 

I hereby confirm that the information provided is true and correct.

 

Signature
Date
 
 

 

 
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