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First name *

Last name *

Address *

Email *

Code *

Phone number *

Country of Permanent Resident *

Languges Spoken *

English Arabic Other

Step 2 of 6 - BUSINESS MATTERS

How did you become interested in Men-Zone and why? *

Have you owned, or held a partial ownership interest in any business operating in the beauty services industry? *

Yes No

Have you ever been involved in any litigation or arbitration/mediation with respect to your previous business history? *

Yes No

Will you work in the business on a full-time basis? *

Yes No

Who will be responsible for operating the business on a day-to-day basis? *

Will you be purchasing the business with assistance of other investors? *

Yes No

Step 3 of 6- BUSINESS EXPERIENCE & HISTORY

Current Employment/Business *

Address *

City *

Region/State/Province *

Postal Code *

Country *

Type Of Business *

From *

To *

Duties and Responsibilities *

Position *

Contact Number *

May we contact your previous employer? *

Yes No

Have you ever been self-employed? *

Yes No

Step 4 of 6- EDUCATIONAL BACKGROUND

High School *

9th 10th 11th 12th

Name of School *

Post Secondary Education
Years Attended *

1 2 3 4

Name of College *

Degrees / Certificates *

Step 5 of 6- ASSETS

I make the following statement regarding my assets and liabilities as of this date *

Immediately available cash (on hand or in bank) *

Vested profit sharing/pension *

Listed stocks/bonds/debentures *

Notes/accounts/mortgage receivable*

Existing business/Ownership*

Real Estate*

Others assets*

Total assets

Liabilities

Accounts/Credit cards payable*

Secured Notes/Loans payable to banks*

Unsecured notes/Loans payable to banks*

Secured loans payable to others*

Unsecured loans payable to others*

Mortgages payable on Real Estate*

Other business liabilities*

Taxes and assessments payable*

Others Liabilities*

Total Liabilities

Step 6 of 6- ACKNOWLEDGEMENT & CONSENT

The undersigned certifies that the information contained in this application is a true and correct statement of the personal and financial affairs of the undersigned on the date indicated below. In the event that these affairs change, the undersigned agrees to notify Monasaba Franchise Inc. in writing of all such change(s)as soon as practicable.

Name of Applicant *

Date *

Your Signature *

A PROMISING BUSINESS FOR YOU!

Step 1 of 6 - PERSONAL INFORMATION

Step 2 of 6 - BUSINESS MATTERS

Step 3 of 6- BUSINESS EXPERIENCE & HISTORY

Step 4 of 6- EDUCATIONAL BACKGROUND

Step 5 of 6- ASSETS

Step 6 of 6- ACKNOWLEDGEMENT & CONSENT