Brand Concept *

    Preferred Locations of Sites *

    Your Name *

    Birthday *

    Residential Address *

    Age *

    Mobile *

    Landline *

    Email Address *

    Citizenship *

    School Graduated *

    Course *

    Company *

    Profession

    Civil Status *

    Spouse Name

    Spouse Age

    Spouse Occupation

    Spouse Company

    No. of Years

    Other Business/es

    1x1 Photo (up to 5mb only) *

    Letter of Intent (up to 5mb only) *

    Vicinity Map of Prospective Site (up to 5mb only) *

    Photograph of the Prospective Site (up to 5mb only) *

    *Additional Information: Please share with us any other background or
    relevant information including your experience, professional background, and why you are interested in becoming a
    part of the Fruitful family of Fruitas Holdings Inc.