Comprehensive Franchise Pre-Application/Evaluation Form

Personal Information

Full Name (Last, First Middle) †

T.I.N. †

S.S.S. Number †

Birth Date † Select January February March April May June July August September October November December   -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31  

Contact Numbers

Telephone Number †

Mobile Number †

Fax Number

Email Address †

Current Address

Years of Residence in Current Address

Previous Address

Years of Residence in Previous Address

Civil Status Single Married Divorce

Name of Spouse

Occupation/Business of Spouse

Work/Business of Spouse

Children Information (if any)

Full Name  Age

Full Name  Age

Full Name  Age

Full Name  Age

Full Name  Age

Your Franchise Setup

Who will own the franchise? †

Please list down all name(s) of individual and/or company name.

Who will manage/operate the franchise? †

Please explain in detail.

Funds in PHP (capital) available for the business. †

Please explain in detail.

Funds in PHP available for future investments in the business. †

Please explain in detail.

Proposed location for the franchise

Address †

Description †

Layout †

Other alternative location for the franchise

Address

Description

Layout

Credit Background

Income

Total Annual Gross Income

Breakdown:

Salary

Rental Collections/Fees

Interests and Dividends

Others

Assets:

Cash on Hand

Accounts and Notes Receivables

Stocks, Bonds, and other securities investment

Real Estate Property in your name

Other real property(ies) in your own name (automobiles, etc.)

Others Breakdown

Liabilities:

Accounts and Notes Payables to Bank(s) or other Financial Institution(s)

Accounts and Notes payable to individual(s)/other(s)

Mortgages payable(s)

Interest payable(s)

Other(s)

Net Worth

Work/Business Background

Work Experience

Employer's Name	Employer's Address	Direct Supervisor's Name	Direct Supervisor's Contact Number	Starting Salary	Ending Salary	Dates Employed (From-To)	Reason for Separation

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Business Experience

Name of Business	Address of Business	Dates of Operation	Number of Employees	Nature of Business

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Educational Background

Names of schools attended, Dates attended, and Degree/Course accomplished

Name	Name of School	Dates Attended (From-To)	Degree/Course
High School
College
Graduate School
Others

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Reference

Please list three credit references

Name	Address	Email	Contact Number

---

Please list three professional references

Name	Address	Email	Contact Number

---

Please list Bank references

Name	Address	Email	Contact Number

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The objective of this pre-application/evaluation form is for you to provide us with sufficient information to guide us in assessing your qualifications as a franchisee. Should the information you provide indicate that you are a potential franchisee, we shall get in touch with you to provide you with the actual Application Form and to schedule an interview.

It is important that you provide us with complete and concise information in this form in order for us to process this assessment accurately. Please do not leave applicable questions unanswered.

Please have all proposed partners accomplish this form separately.

† - Required fields.

Submit Franchise Form Clear Form

* You may also download a PDF copy of this form, accomplish and fax it to (+632)914.3007. For more inquiries, please email us at: