FRANCHISE FORM Do you have what it takes to be a Bangus Franchisee?
Franchise Document of Bangus Republic Inc.
Name: Date Submitted : Co-applicant of :
mm / dd / y
Application Notes
BANGUS RESTAURANT Franchisees are selected on the basis of experience, character, integrity, financial stability and general suitability. In order to more accurately assess your suitability in becoming an BANGUS RESTAURANT Franchisee you and, if the application is for a corporation, each shareholder of your Franchise Corporation, will need to complete this Applicant Background Information Statement and return it to Bangus Republic Inc. Your confidential Information Statement will then be subject to assessment by the Franchising Dept. toward your suitability toward purchasing and operating an BANGUS RESTAURANT Franchise. This confidential information will only be used to help us assess your suitability as a Franchisee. This information will not be used or disclosed for any other purpose without your prior approval and may at your request be destroyed or returned to you if your application is unsuccessful. This application does not oblige either party in any way.
Applicant’s Personal Details
This section requires you to disclose your personal contact details. BANGUS Republic Inc. has two main reasons for requesting this information:
To give us full and correct contact information for our records; and To assess parts of your personal life, just so we can gain a greater understanding of your needs and how these will impact on your ability to operate the business successfully.
Date of Application:
mm / dd / y
Your full and correct name Title: First Name Surname Mother's Maiden
Name: Your date of birth:: Residential address House number: Street name : City / Town : Province: Zip Code: Office / Work address : Number of years at your residential address: Previous residential address if less than one year at the address listed above House number: Street name : City / Town : Province: Zip Code: Office/Work address: Current telephone numbers Residence: Office : Mobile: Fax: E-mail: Marital Status: (pls. check one) single seperated married divorced
mm / dd / y
Children and ages Full name: Full name: Full name: Full name: Full name: Full name: Full name: Husband / Wife of Partners details First Name: Maiden name: Date of birth: Current employer: Title / position: Educational Attainment:
mm / dd / y
Age: Age: Age: Age: Age: Age: Age:
What is your Husband/Wife or Partner’s proposed involvement in the BANGUS RESTAURANT Franchise?
Your Occupation details Company owner Business Description: Annual Turnover: Number of staff/employees: Your Income: Business owner Self employed
Currently employed Current employer:
Type of business: Your position: Your Income:
Not currently employed Detail relevant memberships 1. 2. 3. Are you legally authorized to work or purchase a business in this country? Yes No
If you answered No then when will you be legally able to work and own a business in this country? Is there anything, which may hinder you in effectively operating this style of business? Yes No
If you answered Yes then please detail the area(s) of concern and possible solutions: 1. 2. 3.
Education
This section requires you to disclose your educational details from secondary/high schools and tertiary levels, and higher. Even though education is an important factor in assessing your appropriateness for a BANGUS RESTAURANT Franchise, education is not used in isolation. Assessment of your abilities to operate a BANGUS RESTAURANT business favors the level of experience you have gained as well as your attitude toward small business.
Secondary High Schools attended: School Inclusive Years Honors/Awards Recieved
Tertiary educational facility attended and level of achievement: Honors/Awards College or University Inclusive Years Recieved
Post-graduate or Vocational / Technical Courses School Inclusive Years Honors/Awards Recieved
Personal or Professional development courses, training or activities which may be directly relevant to a restaurant or service business: Course provider Year taken Course Title
Business Experience
This section requires you to disclose your business experience. Assessment will take a broad range of experience into consideration: Your level of management experience; training and/or coaching experience; marketing and/or sales experience and lastly, your level of overall experience in operating either a small business or managing a business unit or department. Starting from most recent list your business experience:
Period: Position: Company: Type of Business: Responsibilities:
mm/dd/yyy
to
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Period: Position: Company: Type of Business:
mm/dd/yyy
to
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Responsibilities:
Period: Position: Company: Type of Business: Responsibilities:
mm/dd/yyy
to
mm/dd/yyy
Your Questions to BANGUS RESTAURANT
This section has been provided so you may list important questions that you may have about becoming a BANGUS RESTAURANT Franchisee. These questions will be given due consideration and Bangus Republic Inc. will contact you for the responses.
1. 2. 3.
References
Please list four associates that Bangus Republic Inc. can contact to discuss your abilities to run a BANGUS RESTAURANT. This contact will be via telephone and will be conducted in a professional manner.
Person's name: Relationship: Telephone: Telephone:
Person's name: Relationship: Telephone: Telephone:
Person's name: Relationship: Telephone: Telephone:
1. Are there any legal proceedings against you? Yes No
If yes, please provide details:
2. Do you have any criminal convictions recorded against you? Yes No
If yes, please provide details:
Preliminary Financial Evaluation
Please detail how you would finance the purchase of a BANGUS RESTAURANT franchise:
What amount have you included for working capital in your funding estimations?
(If borrowing funds, the following questions must be answered) Of the total investment required (including working capital), how much do you plan to borrow?
Do you own or are you renting/buying: a. Your home? b. Other investment property? If YES to (a) or (b), what equity do you currently have in these properties?
If NO, how do you plan to borrow the necessary funds to get into this business?
Have you spoken to your bank or other financiers about a business loan? If YES, what was their response?
What are your current total monthly repayments for mortgages? other loans, hire purchase agreements, etc.?
What is your usual annual total household income? How much of the household income does your spouse/partner earn? Would your spouse/partner continue to earn an outside income after you become a BANGUS Restaurant Franchisee?
Applicant Representation
I understand that in signing this form I am not legally obliged to take up a Franchise and that all the information supplied by me is confidential for the purpose of assessing my desirability and qualifications as an Applicant. The information contained in this report is not to be provided to any other person or organization. If I do not become an BANGUS RESTAURANT Franchisee, this information is to be destroyed or returned to me at my request. I state the above details to be true and accurate:
Signed and submitted this
day of
2008.