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Name -Lastname Date of Birthday :
Age :
Gender :
Male Female
Address : SubDistrict :
City : Province : Country :
Post Code : Tel (Home) : Tel (office) :
Mobile : Fax : E-mail :
Education : Occupation :    
Experience of your own business Yes    No    If Yes, please specify
Your effort to do your own: buisness 100%   80%    50%    30%    

Your interested form
of business 
Franchise 12,000 USD. Trial Package 950 USD Wholesale & Export (Minimum Order 2,000 USD) 

Which major city you are interested: in open your shop  1. 2.  
Amount of investment :  Investment USD Source of Investment :  
How do you know 'Pata Jewelcloning'? :   When can you start the business? :  
Why do you interest in 'Pata Jewelcloning'?
What make you think you can be a successful franchisee of 'Pata Jewelcloning'?
Your brief marketing plan Brief example of your marketing plan:

Example of marketing burden to achieve marketing target:
Is there any disadvantage if you become our franchise?
(please specify,if any)