Join Our Program Franschise Application Form Name Number Email Address PLEASE SELECT THAT APPLY PERMANENT RESIDENT STUDENT BUSINESS OWNER EMPLOYEE OTHER DATE OF BIRTH Submit EMPLOYMENT HISTORY You are employee pls fillup below application Position Company Date of Employment Reason for Leaving Position Company Submit BUSINESS OWNERSHIP EXPERIENCE (if applicable) TRADING NAME NATURE OF BUSINESS YEARS OF TRADE IS THE BUSINESS STILL OPERATING? SUBMIT REFERENCES COMPANY NAME CONTACT NAME PHONE nUMBER COMPANY NAME CONTACT NAME PHONE nUMBER SUBMIT OTHER BACKGROUND INFORMATION Have you or any applicable partners, officers, directors, or shareholders with your business affiliations ever: Had any administrative, criminal or civil action alleging a violation of any franchise law, fraud, embezzlement, fraudulent conversation, restraint of trade, unfair or deceptive practices, and misappropriation of property or comparable allegations? Please note that FISHWAVE reserves the right to request a copy of your criminal record from the relevant State Police Authority. YES NO Been convicted of a felony or pleaded “no contest” to a felony charge or been held liable in a civil action by a final judgement or been the subject of a material complaint or other legal proceeding such as a felony, civil action complaint, misappropriation of property or comparable allegations? YES NO Been adjudged bankrupt or reorganized due to insolvency? YES NO If you answered “Yes” to any of the questions above, please explain: SUBMIT GENERAL INQUIRY ARE YOU PREPARE TO COMPLY WITH THE PROCEDURES AND CONTROLS SET BY THE COMPANY? YES NO Why do you think you will be successful? Are your intentions to work full time in the business? YES NO Are you aware certain information provided and/or advised to you is confidential and shall not be divulged to any third person unless the company gives approval? YES NO FINANCE INFORMATION(MONTHLY) HOW ARE YOU FUNDING THIS OPPORTUNITY? SUBMIT NEXT