1. PERSONAL INFORMATION Name DOB Education Marital Status SingleMarried Reference Last Years IT Returns Permanent Address Corresponding Address 2. CONTACT INFORMATION Phone No(Business & Residence) Phone No(Mobile) Fax E-mail 3. BUSINESS INFORMATION Current Business Activity Location Complete address of the location Total area of shop Total carpet area Front/width + Length + Height Ground/Lower/Upper Floor Ownership/Rental/Lease Total No. of Shops in your market (approx.) Name of known brands near your shop About parking place? Avg. Footfall around the area? Residential colony nearby (approx population) 4. OTHERS How did you hear about Frontier Biscuit Factory Pvt. Ltd. Shopping Zone Authorised Dealer? What features interests you most about Frontier Biscuit Factory Pvt. Ltd.? Would you expect to devote your full time to this business? YesNo Have you been involved in a Authorised Dealer business before? YesNo If Yes, please give details Are you a Partner/Director in any other venture? YesNo If Yes, please give details (Note: The information submitted on this form will be treated by Frontier Biscuit Factory Pvt. Ltd. as strictly private and confidential. Please help us by completing all the sections carefully and thoroughly. The completion of this application form places no continuing obligation on either Frontier Biscuit Factory Pvt. Ltd. or you.) 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 to be given. I understand that any misrepresentation of factual information requested on this application form may be cause for removal.