Franchise Application

APPLICANT INFORMATION

Company Name: {{company_name}}

Company Address: {{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Date of Application: {{date_of_application}}

Proposed Franchise Location (if known): {{proposed_location}}

PERSONAL DETAILS OF PRINCIPAL APPLICANT(S)

Full Legal Name: {{principal_applicant_name}}

Identity/Passport Number: {{principal_applicant_id}}

Date of Birth: {{principal_applicant_dob}}

Residential Address: {{principal_applicant_address}}

Phone (Mobile): {{principal_applicant_mobile}}

Phone (Work): {{principal_applicant_work_phone}}

Email: {{principal_applicant_email}}

Current Occupation: {{principal_applicant_occupation}}

Years in Current Occupation: {{principal_applicant_years_occupation}}

BUSINESS EXPERIENCE AND QUALIFICATIONS

Please describe your relevant business experience, including any prior franchise experience:

{{business_experience_description}}

Do you have any qualifications or certifications relevant to operating a business or this specific industry?

{{qualifications_description}}

FINANCIAL INFORMATION

Total Liquid Capital Available for Investment: {{liquid_capital_available}}

Source of Funds: {{source_of_funds}}

Net Worth: {{net_worth}}

Do you require financing to acquire the franchise? (Yes/No): {{financing_required}}

If Yes, what amount do you anticipate needing? {{financing_amount_needed}}

Have you ever been declared bankrupt or insolvent? (Yes/No): {{bankrupt_insolvent}}

If Yes, please provide details: {{bankrupt_insolvent_details}}

BUSINESS PLAN OVERVIEW (Optional, but Recommended)

Provide a brief overview of how you envision operating the franchise:

{{business_plan_overview}}

What are your motivations for seeking a franchise with our company?

{{motivations}}

REFERENCES

Please provide two professional references (not family members or current employees):

Reference 1 Name: {{reference_1_name}}

Reference 1 Relationship: {{reference_1_relationship}}

Reference 1 Phone: {{reference_1_phone}}

Reference 1 Email: {{reference_1_email}}

Reference 2 Name: {{reference_2_name}}

Reference 2 Relationship: {{reference_2_relationship}}

Reference 2 Phone: {{reference_2_phone}}

Reference 2 Email: {{reference_2_email}}

DECLARATION AND AUTHORISATION

I, the undersigned, certify that the information provided in this application is true and correct to the best of my knowledge. I understand that any false statements or misrepresentations may result in the rejection of this application or termination of any subsequent franchise agreement.

I authorise {{company_name}} to conduct credit checks, background checks, and to contact the references provided herein.

I understand that this application does not constitute an offer of a franchise and that any franchise agreement will be subject to a separate written agreement.

SIGNATURE BLOCK

_____________________________

Signature of Principal Applicant

_____________________________

Printed Full Name

_____________________________

Date