Chettinad

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Name

First

Last

Phone

Do you plan to operate this business yourself?

Preffered Location 01 where you would like to have your office

Address Line 1

City

State

Zip Code

Preffered Location 02 where you would like to have your office (copy)

Address Line 1

City

State

Zip Code

Why do you wish to purchase a franchise rather than starting your own business or being employed by an existing company?

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How do you view the role of you as the Franchisee?

How do you view the role of us as the Franchisor?

If your application is approved, when would you prefer to open your franchise?

How did you hear about us?

Multiple Choice

I certify that the information provided on this questionnaire is complete and accurate. I hereby authorize verification of the above information. It is understood that this is a preliminary application and does not bind any party with any obligation.

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Signature

Name

First

Last

Signature of Spouse

Spouse Name

First

Last

Date

Checkboxes

FRANCHISE APPLICATION ACKNOWLEDGEMENT *

Privacy legislation stipulates that any personal information collected by a corporation from an individual is considered confidential and cannot be used or disclosed without the individual’s consent, unless a legislative exception applies, making consent unnecessary. By signing this form, you are granting consent for Spice Venue to:

1. Use the personal information provided in this form to evaluate your application and, if approved, for internal purposes and for use in documents promoting the Spice Venue franchise.

2. Disclose the personal information in this form to any person, firm, or corporation, and to collect additional information from such entities to verify the details in this form and assess your suitability as a Spice Venue franchisee.

The undersigned acknowledges that an investigation may be conducted regarding the personal information provided, including gathering additional details about the undersigned’s financial status. The undersigned authorizes former employers, educational institutions, financial institutions, and references to release personal information in their possession to Spice Venue. The undersigned waives any recourse and releases Spice Venue from any claims or liabilities related to such investigations or the results thereof. The undersigned also releases any individuals or entities providing personal information to Spice Venue from any claims or liabilities in connection with the information provided.

The undersigned further acknowledges that Spice Venue has multiple criteria for accepting a franchisee and reserves the right to reject any applicant without specifying the reasons for rejection.

The undersigned certifies that the form has been completed fully and accurately to the best of their knowledge and includes true and accurate financial information as of the date provided. Any false information or material omissions could lead to disqualification or the immediate termination of any agreement with Spice Venue, should such information be discovered after acceptance.

If an applicant's submission is rejected, a new application will be required for re-application. Spice Venue confirms that it will adhere to all applicable privacy legislation in the retention and destruction of such information.

Authentic Indian Cuisine

Assets

Liabilities

Income — Self

Income — Spouse