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Franchise Application Form

Confidential

This application form is for applicants to start a CyberGenie Cops Franchise.

1. The information submitted on this form will be treated by cybergenie cops as strictly private and confidential.

2. Please help us by completing all sections carefully and thoroughly.

3. This form will present information that is essential for our consideration in granting a domestic franchise.

4. Completion of this application form places no continuing obligation on either cybergenie cops or you. (but of course we hope it will have a happy outcome for all!)

Personal Information

Business Experience

Business Organization

Operating Company

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Management

Indicate name of existing or proposed Director(s) and General Manager of the operating company and their previous commercial experience.

Name Position Commercial Experience

Indicate name of existing or proposed Director(s) and General Manager of the operating company and their previous commercial experience.

Financial Resources

Management

Agreement

I hereby declare that to the best of my knowledge and belief, the above statement and particulars are true and complete. I also authorize you to make any enquiries you consider necessary in connection with this application. I am aware that should this application be refused, no reason need be given.
I understand that any misrepresentation of factual information requested on this application form may be a cause for removal from the CyberGenie Cops system.

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Complete

You have successfully completed all steps.