Franchise Application

Personal Information 1

Name :
Identity Card /
Number:
Address :
Country :
Zip/Postal Code :
Primary Contact :
Phone Number :
Age:

Suburb for Franchise:

Online Information 1
E-mail:
Facebook Account:
Twitter Account:
Instagram Account:

Other Account:

Page 1 of 3
CHEESE TEA INC Indonesia Application Form
Franchise Application

Personal Information 2

Name :
Identity Card /
Number:
Address :
Country :
Zip/Postal Code :
Primary Contact :
Phone Number :
Age:

Suburb for Franchise:

Online Information 2
E-mail:
Facebook Account:
Twitter Account:
Instagram Account:

Other Account:

Page 2 of 3
CHEESE TEA INC Indonesia Application Form
Franchise Application

Extra Information

What is your
motivation to
choose CHEESE
TEA INC
Indonesia?

Will you be able to devote all your working time to CHEESE TEA INC
Indonesia business? YES / NO
If Not, What percentage will you Contribute _____________________

Declaration
I certify that the information contained in this Application Form is true and
correct. By sign this application I understand & accept all business risk and
agree to terms and condition made by CHEESE TEA INC Indonesia
Jakarta, ______________

Materai
6000

Signature : ____________

Page 3 of 3
CHEESE TEA INC Indonesia Application Form