ALDES BUSINESS BROKERS FRANCHISE GROUP

CLIENT PROFILE & CONFIDENTIALITY AGREEMENT

To: Peter Smith-Cox Fax: 086 678 8321
ALDES 21 Business Brokers Re:

Full Name :
Home Address:
Tel: W: Cell: Fax: H:
ID No: e-mail:
Do you own a home or property ?
Type of business required:

Other possibilities:
Areas:
Have you owned a business before ? No / Yes What type ?
By when would you like to be in your own business ?
How long have you been searching for a business ?
Have you seen anything suitable ?
What expertise or strengths do you have ?
Would you consider a partnership ?
Do you represent yourself, partners or company etc ?
Who would make the final decision ?
Are you a unrehabilitated insolvent ?
Do you have any judgements against you ?
Income/Profit required R pm Purchase Price R
What Funds do you have available to Finance a Purchase
Cash / Deposit R
Property Bond R
Bank Finance R
Other R
TOTAL R
Remarks

I accept that the information given to me by the brokers on behalf of Mandated Sellers shall be treated
in the strictest of confidence and I undertake not to disclose such information to others for their or my
benefit without the consent of Aldes Business Brokers.

I confirm that to the best of my knowledge the above information is true and correct.
SIGNED: DATE:

ALDES 2 1 Bu s in es s B ro kers (A memb e r o f T he ALDES Bu s in es s Br oke rs Fran chi s e G roup )

A Di vis i on of J u mu Tradi n g CC. Re g. No. C K 19 99 /0 4 50 70 / 23 . Memb e r: P Sm it h -C ox
1 1 O ri on R oad, K i rs ten h o f, 79 45 , Cap e To wn . Te l : 02 1 7 12 94 14 . Fax : 08 6 6 78 8 3 21 .
E-m ai l : pet er@ aldes 2 1 .c o .za Web : w ww.a ld es 2 1 .c o.z a an d w w w.a ld es .c o.za