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Please send application enquiries to:
Attention: Mr G.V. Mariano
Mastrantonio Holdings (Pty) Ltd
Mastrantonio Franchises
18 Susan Street,
Strijdom Park
PO Box 2221, Saxonwold 2132
Tel: +27 11 793 4018
Fax: +27 11 793 4014
Co.Reg No. 1996/009304/07
This
form is intended to serve as an initial application and does not obligate either
party in any manner.
APPLICANT INFORMATION
| Personal
details |
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| Full
Name: |
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| Date of Birth:
(dd/mm/yy) |
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| Home Phone: |
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| Business Phone: |
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| Cellular Phone:
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| Fax Number: |
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| Email Address: |
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| ID/Passport
No: |
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| Length of time
as RSA resident: |
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| Nationality: |
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| Country of
Citizenship: |
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| Country of
permanent residence: |
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| Marital Status:
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| Region/Area
of interest:
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| Education |
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| Highest level
of education completed: |
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| Degree(s) earned:
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| Name of college
and/or Graduate School: |
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| Financial |
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| Total
unencumbered cash or cash equivalent (stocks, bonds, etc.) available for
investment in an M&A business: |
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| Fair Market
value of business (es) owned: |
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| Equity in real
estate owned: |
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| Current annual
income: |
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| Name of insurance |
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| Business
Experience
It is important that you attach a personal resume (CV – Curriculum
Vitae) including the following: |
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| (a) Work experience |
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| (b) Briefly
describe the nature of business(es) owned and your involvement |
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| (c) Where did
you hear about the M&A group? |
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| (d) What are
your financial expectation in joining the M&A group? |
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| Company
details (if applicable) |
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| Registered
Name: |
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| Registration
Number: |
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| Registered
Address: |
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| Name under
which company Conducts business i.e. trade name: |
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| Physical address
from which company Operates (business address) |
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| And if operates
from multiple addresses Also physical address of Head office: |
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| Contact
person: |
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| Contact
details: |
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| Phone (W) |
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| Fax: |
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| Email:
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| Company
income tax number: |
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| Company
income VAT registration Number: |
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I
hereby confirm that the information provided is true and correct.
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