PAAN CASA appreciates the time and effort you have put in to the completion of this form and welcomes applications from all sectors of the community regardless of gender, marital status, disability, ethnic origin, race, color, nationality, sexual orientation, religion or belief.

​

Please sign electronically below to indicate that the facts you have given are true to the best of your knowledge and belief and may be used by PAAN CASA to assess your application and carry out such checks as are required to verify your information and your suitability as an extended Paan Casa licensee.

​

You agree that you will notify Paan Casa of any material changes to this information in writing and understand that omission or misrepresentation of information in this form may result in your removal from the Paan Casa program.

Many Thanks,

The Paan Casa Franchise Team