Region____________Province____________City____________County/District

Economic ranking________________Urban population_________________

Fill in the following information carefully (date of filling: ______)

I. Applicant

Name Mr. /Ms ____________Native place________________________Age______

Company/Personal Add___________________________________________________

Tel (area code)____________Fax____________Mobile______________

Brands the applicant has ever operated

Starting and ending time Brand name Add of exclusive shop or name of the shopping mall Business area
(㎡)
Annual turnover

Business model: Joint stock system    Private ownership                 Scale: owns _______ employees

II. Market profile

1. The best department store in local        1)___________________________________________________

                                                   2)___________________________________________________

2. The most prosperous business section in local  1)______________________ 2)__________________________

3. The most salable women's dress in local     1)______________area______average monthly sales volume_________________

                                                   2)______________area______average monthly sales volume_________________

                                                   3)______________area______average monthly sales volume_________________

                                                   4)______________area______average monthly sales volume_________________

III. Development plan

1. Number of counter in shopping mall______________

1)Name of shopping mall_______________________________________  The predicated approach time ______________

2)Name of shopping mall_______________________________________  The predicated approach time ______________

2. Number of exclusive shop______________

1)Add: _____________________________ area: _________The predicated open time ______________

2)Add: _____________________________ area: _________The predicated open time ______________

IV. Business fund and management

1. Funds are from:

1) Own

2) Joint venture (________________________________________________)

2. The funds available¥  ____________