Franchise Application Form

Franchise Application Form Guidelines: 1. If a group of individuals are planning to jointly set up the franchise, please photocopy SECTION I: - Personal Fact Sheet and fill the details of respective members. 2. Please enter all relevant details. Do not keep any details vacant/unfilled. 3. In case of questions with multiple options, please tick the appropriate answer. 4. In case you wish to provide additional information, please attach a separate sheet. In which City/Suburb do you plan to set up the Franchise Outlet? ____________________________________________________ All future correspondence should be addressed to: Name (Dr/Mr/Mrs/Miss/Ms) :____________________________________________________________________________________ Address : _____________________________________________________________________________________ _________________ _____________________________________________________________________________________ __________________________ _____________________________________________________________________________________ __________________________ Pin Code Phone Email _______________________ State ______________________________________ _______________________ Fax ______________________ ___________________________________________________________ Application Form Page 2 of 7 Section 1: Personal Fact Sheet 1. Name 2. DOB* : __________________________________________________ (Ist Name) (Middle Name) (Surname) : ___________________ Photograph 3. Address : _________________________________________________________________________ 4. Email 5. Contact Nos. : _______________________________________________ : _______________________________________________ Service Business Others 6. Current Occupation: (To be filled in by those in service) Name of current employer: _____________________________________________________________________________________ _ Designation: __________________________________________________ Previous Work Experience Perio d Organisation Name Designation Responsibilities (To be filled in by those in business) Application Form Page 3 of 7 Company Name(s) Proprieta ry/Partne rship/ Private Ltd/ Public Ltd. Nature of Busine ss Product s Years in Busine ss People Employ ed Turnover (Rs. in lakhs) Last 3 years Ist 2nd 3rd Others: 7. Educational Qualification beginning with the most recent Qualificati on Year of Passing Name of Institution Application Form Page 4 of 7 8. Financial Information: Particulars Salary Bonus/Commission/Incentive Property Income Dividend/Interest Business Profit Other Income (please specify) Total Assets Cash on hand Shares/ Mutual Fund/ FDs Property (current market value) Motor Vehicles Others (please specify) Rs. Lacs Liabilities Loans Mortgages Accounts/Bills Due Other Debts/obligations (specify) Rs. Lacs Annual Income (Rs. Lacs) Total Total 9. Does your professional background involve any of the following? (Please tick) Marketing/Sales Academic Institute Management Event & Entertainment Management Men Management Profit Centre Management Small Business Administration/ Management 10. How soon can you free yourselves from present commitments to start this possible association with FashionFolks India Company ? Immediately Within 3 months Within 6 months Undecided References (excluding relatives) Application Form Page 5 of 7 Name Address Contact No. Occupation 11. Your social status a) Any past criminal record? b) Are any criminal proceedings pending against you in any courts in India? c) Have you ever been charged for any unlawful acts? If you have ticked ‘Yes’ for any of the above options, please state details of the same here below: _____________________________________________________________________________________ __________________________ _____________________________________________________________________________________ __________________________ Section II : The Proposed Outlet 1. How do you propose to set up the Company? (Please tick) Proprietorship Partnership No Is the Proprietorship/Partnership already in existence Yes If yes, what is the name of the Business _______________________________________ 1(a) IT-PAN number________________________________________________________ 2. How do you propose to raise funds for this Outlet? Own Capital % % Loans from Financial institutions Other sources % Application Form Page 6 of 7 DECLARATION 1. I/We, declare that we do not have franchise of any other business directly, indirectly or through my/our relatives and associates similar to the one offered by Fashion Folks India. 2. I/We, hereby certify that I/We shall remain the applicants and if there is any change in the composition of applicants before signing of agreement or opening of franchise Outlet. I/We hereby agree to get the new applicants as well as the new form of organization approved by Reebok India. We agree to the rejection of this application if the changes are not approved by Reebok India. 3. I/We certify that all the information in this application form and on any attachments thereto is true and accurately represents my/our current and continuing financial conditions. I/We understand that any misrepresentation in this statement may result in rejection of this application. ------------------------------------------------------------------------------------------- ------------------------------------- ------------------------------------ --------------------- ------------------------------------- ------------------------------------ --------------------- (Name of applicant) (Signatures) (Date) Application Form Page 7 of 7