This document is an application for preliminary approval to become a franchisee of Dial-A-Driver Australia Pty Ltd. It requests personal information from the applicant such as name, address, assets, criminal history, and skills. The applicant must acknowledge they understand the company reserves the right to decline applications confidentially. If approved, the applicant will need to commence training and may require financing to become a franchisee.

1. “Dial-A-Driver”
Australia
Pty Ltd
Application for
Preliminary Approval
Disclaimer: Dial-A-Driver Australia Pty Ltdreserves the right to decline to provide or reveal confidential information and or
intellectual property to the intending purchaser in the event the intending purchaser either refuses to seek approval to become a
Franchisee of Dial-A-Driver Australia Pty Ltd or whose application is denied due to failure to meet the prerequisite criteria. The
licensor may refuse to grant based on confidential assessment criteria and is not obliged to reveal the reasons why an application
is approved or declined. The intending purchaser franchisee hereto acknowledges that heshe agrees to the above conditions
before making any applications.
Location Territory _____________________________________ Post code__________________
First Name ___________________________ Middle Name _______________________________
Surname _____________________________ Partner _______________________________
Status ___ Married ____ Single ________ Dependants ____________ Date of Birth
Landline (____)__________________ Fax __________________________
Mobile _________________________ Alt. Phone ___________________________
Email _______________________________________________________________________
Address 1_______________________________________________________________________
Suburb ______________________________________________ State ________________
Post Code ______________
Status ________ Renting _________ Home Owner
Licence number ____________________________________________
What is the total value of your assets $______________________.______
Do you require finance YN
Do you have a Criminal History YN
Have you been disqualified from holding a licence YN
Have you been disqualified as a company director YN
Have you been bankrupt with in the past 15 Years YN
Do you have a drug history YN
Are you ready to commence training YN
Do you require finance YN
Skills __ Sales __ Advertising __Business __Finance __Accounting __Other
Main reasons(s) for becoming a Franchisee: __Income __Lifestyle __Challenge __Independence __Other
The information supplied is true and correct __________________________________ Date_____________________
( Sign Here as applicant )