LEASING ENQUIRY FORM Please fill in the particulars of your company and submit together with your company profile and business proposal to PRIDE. Allocation and availability of the space are subject to the term & conditions of PRIDE. COMPANY BACKGROUND Company Name* Praesidio Resources Sdn. Bhd. Trading Name* PRYSTINE Nature of Business * Personal Hygiene Product retailer Status of Company* (select one) o o o o o o o Website www.praesidio.com.my Business Registration No* Paid-up Capital* RM 400 000.00 Years of Operation * Current Sales Turnover* RM 500 000.00 Telephone No. * Contact Person* Muhammad Muaz bin Ahmad Fax No.* Designation Director Mobile No* Business Corresponding Address* *Mandatory to fill up E-mail Address* Public Company Multi – Company Limited Company Franchise Holdery Partnership Concessionaire Sole Proprietorship 3 Years BUSINESS DETAILS A. Preferred Type (please specify if Pushcart or Retail Kiosk, etc): Vending Machine Space B. Dimension of size required Width ft (frontage) x Length ft (Depth ): C. Basic Amenities Required: Electricity specification i.e. Single Phase 30Amp or 3 Phase 60 Amp Water Others, (please specify): …………………………………………………………………………………………. D. Brief Description of your business and brand concept. E. Please list category of Product & Services F. Price Point G. Target Market H. Number of existing outlets I. Number of Outlets Planned to Open Immediately J. Please select at least five (5) preferred stations by ranking. 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17) 18) 19) SUBMISSION I. The submission of a Business Proposal is a compulsory requirement. Please include in the proposal with the detail info as per below: a. b. c. d. e. Company Profile Artist impression of outlet concept List of products and services Valid ‘HALAL’ certificate from JAKIM (For F & B Business) Photographs/visuals of existing stores or proposed store design and products and services. II. PRIDE reserves the right to reject or terminate application should the above terms are not fulfilled without prior notice to the applicants and without assigning any reason thereof. III. Please email the complete Enquiry Form to our e-mail address: prideretail@prasarana.com.my IV. Please email or send your company profile and business proposal to the address below: Prasarana Integrated Development Sdn Bhd (PRIDE) B-20-1, Level 20, Menara UOA Bangsar, No.5, Jalan Bangsar Utama 1, 59000 Kuala Lumpur Attention: Retail & Leasing Department.