Your name
Your email
Mobile Number
Have you been a customer of Takoyadon before? YesNo
Do you have any experience or investments in other businesses or franchise? YesNo
If YES, kindly give details (Franchise store| Location)
Where do you intent to put up your Takoyadon store?
Will you still pursue putting up a Takoyadon Store in other locations even if your proposed location is not available/feasible? YesNo
Do you have business partner/s? YesNo
If YES, Kindly indicate their name/s below
What will be the source of your funds?
I hereby confirm my genuine interest in a partnership with Takoyadon Company for a Takoyadon store and information in this application form is true and correct. I also authorize Takoyadon Company to make additional checks to verify any information in this form, which it deems necessary.