Professional Documents
Culture Documents
BRAND INTEREST:
(Please indicate with)
_____________________________________________________
(Prospective Franchisee)
Date: _________________________________________________
Email: ________________________________________________
of
_____________________________________________________
_____________________________________________________
_____________________________________________________
(Please Provide Full Address including Country)
_____________________________________________________
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Famous Brands Franchise Application Form
PRELIMINARY DETAILS OF PROSPECTIVE FRANCHISEE:
Name: ______________________________________
Partnership
Limited Corporation
Close Corporation
Details of Partners/Members/Shareholders
______________________________________
______________________________________
Bookkeeper
Accounting
Officer
Auditor
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______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
Cellular (_________)_______________
Home (_________)_______________
Fax (_________)_______________
______________________________________
Provide four (4) areas where you would like to open a franchise:
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PERSONAL DETAILS OF FRANCHISEE:
Surname: ______________________________________
ID Number: ______________________________________
Nationality: ______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
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Cellular (_________)_______________
______________________________________
______________________________________
Personal References:
Trade References:
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Lease/Hire Purchase Agreements – Past and Current:
Present Bankers:
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Record of Previous Business Interests/Employment:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
What experience does the proposed Manager have in the QSR/Food Industry?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
If you were to be awarded a franchise, do you undertake to pay the joining fee and the
monthly royalty and advertising fees as required by the Franchise Agreement as well as
any other required monies for the development of the site if this is applicable?
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Yes No
Comments:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
I, the undersigned, hereby declare that the above information as well as that submitted on the
Statement of Assets & Liabilities is, to the best of my knowledge and belief, entirely correct.
Name: ______________________________________
Signature: ______________________________________
Date: ______________________________________
Witness 1: ______________________________________
Witness 2: ______________________________________
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Famous Brands Franchise Application Form
STATEMENT OF ASSETS AND LIABILITIES
Balance
Sheet of as at
Note: Income and Expenditure to be detailed on back page. Should space not permit, please
attach applicable schedules.
ASSETS
Current
Previous Year Fixed Property (Registered In Your Name) Year
Give particulars of each property separately stating whether Freehold, Leasehold etc. and state if affected by any
Servitude, Usufruct or Fiduciary Interests.
Vehicles, implements
Specify important items
only.
Rate of Date
By Whom Due Interest Recoverable Amount
Life Policies (Payable to the undersigned and not to any third party)
Surrender Value
Date Issued Company Number Maturity Date Amount Less Loans
Shares
Market
Number Held Company Value
Stock In Trade
Book Debts
Bank Balances
Specify
Cash
R TOTAL ASSETS R
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LIABILITIES
Previous Current
Year Bonds and/or Amounts Owing Under Deeds of Sale Year
Annual Capital
Name of Farm or Plot Number Name of Bondholder/Seller Reductions Maturity Date
Bank Overdrafts
Specify security given.
Bills Payable
Sundry Creditors
Other Liabilities
Specify
R TOTAL LIABILITIES R
R TOTAL ASSETS R
R NET WORTH R
I/We hereby declare that this is a full, true and correct statement of my/our assets and liabilities at the above date and that my/our
assets are not encumbered other than as
stated
above.
Dated at on
SIGNATURE
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STATEMENT OF INCOME AND EXPENDITURE
Listing of as at
MONTHLY INCOME
Salary - Self
Salary - Spouse
Commissions
Investment
Other
Total Income R
MONTHLY EXPENDITURE
Taxation
Pension
UIF
Medical Aid
Rent/Bond Payment
Electricity & Water
Rates & Taxes
Hire Purchase Instalments
Lease Agreements
Credit Card Accounts
Insurance Premiums
Life Assurance Premiums
Transport
Loan Repayments
Donations
Alimony/Maintenance
Children's Education
Clothing
Entertainment
Groceries
Clothing Accounts
Telephone & Cellular
Medical
Domestic Worker/Gardener
Security
DSTV/M-Net
Total Expenditure R
Surplus Available R
I/We hereby declare that this is a full, true and correct statement of my/our income and expenses at the above
date.
Dated at on
SIGNATURE
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PLEASE PROVIDE A BRIEF PERSONAL PROFILE INDICATING MANAGEMENT
PHILOSOPHIES, BUSINESS AND PERSONAL GOALS:
I understand that if this application for a Franchise is accepted, I will be required to sign a
comprehensive Franchise Agreement regulating all aspects of my franchise relationship with
Famous Brands.
I also hereby declare that the information given in this application is correct and fully disclose my
assets and liabilities to the best of my knowledge and belief.
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Completion and submission of this application does not guarantee that the applicant will be
accepted as a franchisee and granted the franchise applied for.
Signature ____________________________________
Please include copies of the following documentation when the site is confirmed
and negotiations have commenced:
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