Franchising Local Form

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Brand

Citizenship (Are you a Malaysian Citizen or Permanent Resident?)

First Name

Last Name

State

Postcode

Email Address

Confirm Email Address

Mobile Phone Number

Level of Funding (Cash and/or Assets Available to Invest

How did you hear about us?

Area of Interest - State

Area of Interest - Geographical Area

Thanks for submitting!

No 14 (Block C), Jalan Teknologi

Taman Sains Selangor 1, Kota Damansara,

47810 Petaling Jaya, Selangor, Malaysia

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