Name *
First name *
Date of birth *
(e.g.. 31/12/2000)
Street *
House number *
Zip Code *
City *
Tel. or mobile *
E-mail *

Current activity *
Current status *
Mention your specialties and/or qualities (top 3)
Have you ever employed your own staff? *
CV *
Letter of motivation
Passport Photo
Attachment 1
Attachment 2
Attachment 3
What kind of franchise (concept) are you interested in (more than one possible)?
Do you have your own property? *
Size of your property (specify in mē)
What is the maximum equity investment you want or can contribute (assuming 1/3 equity and 2/3 debt capital)? *
What is your desired working region? *
Are you a member of networks of organisations? If so, please specify.
How do you know Franchisee?
I agree with the privacy statement of Lieveraedt bvba *