Franchise Application CONFIDENTIALITY AND PRIVACY AGREEMENT By completing the form below you are entering into a privacy and confidentiality agreement with Sanitair Australia: We will collect personal information from you in the course of assessing your application. Your personal information will only be used for the purposes for which it is collected or in accordance with the Privacy Act 1988 (Cth) We do not disclose your information overseas unless you specifically consent in writing. We manage and protect your personal information in accordance with our privacy policy. Our privacy policy contains information about how you can access and correct the personal information we hold about you and how you can raise any concerns about our personal information handling practices. For more information please contact us in writing. You are disclosing that you are not connected in any manner whatsoever with any business offering services similar to Sanitair™, nor have you been requested to obtain information by any other company or individual. Any written and verbal communication between Sanitair representatives an yourself is to be used for the sole purpose of evaluating the business opportunity. Any information received from Sanitair representatives is deemed to be intellectual property and or a trade secret, and shall not be disclosed to any other parties. Confidential Information means all information disclosed to you or any Related Body Corporate or representative of you by us or any Related Body Corporate or representative of us, under on in connection with your application to become a franchisee of the Sanitair System, including (but not limited to): Information which, either orally or in writing, is designated or indicated as being the proprietary or confidential information of us or any of our Related Body Corporate; Information to the extent derived or produced partly or wholly from the Information including any calculation, conclusion, summary or computer modelling. Information which is capable of protection at law or equity as confidential information, whether the Information was disclosed: Orally, in writing or in electronic or machine-readable form; Before, on or after the date of your application As a result of discussions between the you, us or any third party, concerning or arising out of the application to become a franchisee; or By us or any of our representatives, any of our related Bodies Corporate, and Representative of our Related Bodies Corporate, and/or our franchisees No Confidential Information may be disclosed by you to any person except: To representatives of your for the purposes of becoming a franchisee of the Sanitair System; With our consent; If you are required to do so by law, a stock exchange or any regulatory authority; or In connection with any legal proceedings. If you disclose Confidential Information you must use your reasonable endeavours to ensure that recipients of the Confidential Information do not disclose the Confidential Information except in the Circumstances permitted above. You must not use any Confidential Information, except for the purpose of becoming a franchisee in the Sanitair System, or as otherwise required by operation of law. If your application is terminated or not approved, you must immediately deliver to us or otherwise destroy all documents or other materials to the extent they contain or refer to Confidential Information which are: In your possession, power or control; or In the possession power or control of persons who have received Confidential Information as authorised above. By accepting the above, you are bound to maintain our Confidential Information. We reserve our rights as to a claim against you in the event that our Confidential Information is used contrary to the provision above, including, but no t limited to, a claim of constructive trust against you and an account of profits. PERSONAL INFORMATION First Name * Last name * Address* Suburb* State* Postcode* Years at this address* List Address, If Less than 2 years DOB DD/MM/YYYY* Citizenship* Spouse or Partner Name* Email* Mobile * Are you Married?* Do you have any dependant children?* Yes or No YesNo If yes, Children's Name, Age and Gender BUSINESS INFORMATION Have you ever been self employed?* Yes or NoYesNo If yes, give details Do you have an ABN?* Yes or NoYesNo If yes, give details Are you currently employed?* Yes or NoYesNo If yes name of employer Have you ever been an officer of a failed company?* Yes or NoYesNo If yes, give details Have you ever had a business failure?* Yes or NoYesNo If yes, give details Have you ever been dismissed, suspended or required to resign?* Yes or NoYesNo If yes, give details Have you/ your spouse / your business partners ever been declared bankrupt or have been a director of a company that has been placed in administration?* Yes or No YesNo If yes, give details Preferred location for business* FINANCIAL INFORMATION Do you own your own home?* Yes or No YesNo Have you recently sold your home?* Yes or No YesNo Are you currently renting your home?* Yes or No YesNo Do you need to borrow to purchase this franchise?* Yes or No YesNo DRIVING HISTORY Do you hold a current Drivers Licence?* Yes or No YesNo Have you ever had a drivers licence cancelled or suspended?* Yes or No YesNo If yes, give details Do you have demerit points accrued against your licence?* Yes or No YesNo If yes, give details Drivers Licence No.* LEGAL INFORMATION Do you have any criminal convictions or impending prosecutions?* Yes or No YesNo If yes, give details Have you ever had a court judgement against you?* Yes or No YesNo If yes, give details Are you subject to any current court orders?* Yes or No YesNo If yes, give details Are you prepared to provide Sanitair with a police clearance?* Yes or No YesNo If No, give details HEALTH INFORMATION Do you suffer from any allergies e.g. pollen, dust, chemicals?* Yes or No YesNo If yes, please give details of problem(s) and its/their current effect upon you Do you have any health conditions that could potentially impact upon your ability to successfully undertake the responsibilities of a franchise?* Yes or No YesNo If yes, please give details of problem(s) and its/their current effect upon you Are you or have you been treated for depression in the past?* Yes or No YesNo If yes, give details Do you have a medical or psychological condition that could affect your ability to run this business?* Yes or No YesNo If yes, give details Are you currently, or have you ever needed to take regular medication?* Yes or No YesNo If yes, give details If required are you prepared to provide a medical certificate?* Yes or No YesNo BUSINESS SKILLS, APPROACH AND MOTIVATION The following questions are designed to give us an indication of your motivation, skills and approach to business. Do you enjoy working with people?* Yes or No YesNo Can you follow a system and or direction easily?* Yes or No YesNo Do you have any past sales experience?* Yes or No YesNo If yes, give details What attracts you to becoming a Franchisee?* Please explain why you have chosen the Sanitair Franchise?* What are your business skills? For example are you skilled at sales, general management, accounting etc.?* Are there any areas in business you feel you may require assistance or training?* Yes or No YesNo If yes, give details What do you believe to be your strengths in business?* Are you prepared to be personally committed to this business and provide persistency and consistency for your success?* Yes or No YesNo Are you prepared to work hard to achieve your business Goals?* Yes or No YesNo What are the key factors for delivering excellent customer service?* What do you consider to be the most important characteristics of a good business owner or manager?* How would you describe yourself?* Why do you believe you should be granted this franchise?* Have you investigated any other franchise opportunities?* Yes or No YesNo If yes, what is your assessment of them? AUTHORISATION TO SUBMIT FORM Name* Enter the letters*