Personal

Name:

Date of birth(dd/mm/yyyy)

City:

State:

Postal Code

Country

Resident

How Long? (year)

Telephone No.(Home)

Telephone No.(Office)

Best Time to call

Best Place to call

Facsimile

Email

Marital Status

Single   Married  Divorced  Windowed

If married, spouse's
name and occupation

Number of children
/dependents

Highest Education Achieved

Secondary School   Bachelor  College
Masters                  PhD        Others

If you selected 'Others'
please specify

Personal Business Information

Current Business or Employment

Responsibility

Most recent Annual Income

Have you ever owned your own business?

Yes               No

If yes, what type

List professional affiliations and hobbies

What do you consider as your greatest business achievements?

On the basis of your past experience your strengths are?

Your weaknesses are?

Please check your preference:

Work inclination

How do you rate your sales ability or interest?

Very weak Weak   Average Strong  Very Strong

Running MAYASILK Franchise Program

Are you interested in running more than one MAYASILK retail outlet under the franchise programme?

Yes               No

Area preferred for franchise (City/State):

 1st   : 
 2nd  : 
 3rd   :

Why are you keen to be involved in MAYASILK's franchise? What are your expectations from this business?

How soon do you want to start your business?

How would you be involved?

Full Time   Part Time

Would friends or family be involved in your business?

Yes               No

If 'yes', whom?

Do you have a financial partner or any other personal source of investment capital?

Yes               No

If 'yes', explain?

Capital prepared to Invest

Income Expectations:

After 1 year (i.e. second year)

After 2 years (i.e. third year)

Financial Information
(Please send your latest income tax assessment to saras@mayasilk.com )
Identification Card No./Passport No: hereby declare that the information given above and financial documents attached are true, correct and complete.