Franchisee Application Form

Name:  
Identity No.:  
Dependants:  
Physical address:  
Is this the same address that you intend operating the franchise from?   Yes: No:
Phone (W):  
Phone (H):  
Fax:  
Cell:  
E-mail:  
Postal Address:  
Postal Code:  
Marital Status:   Single: Married: Divorced:
Home Language:  
Employer:  
Work Address:  
Vocational Background: (Résumé of educational background):  
Financial Details
Bankers:  
Branch:  
Contact Person:  
Cash Available: R
Business Interests:

1.

2.

What capital could you make available? R
Source of capital:  
Liabilities    
Loans: R
Overdraft: R
Credit Card: R
Credit Check: (completion is compulsory)
May we perform a credit check on all available categories?   Yes: No:
Résumé of Business Experience:  
Please write a few lines indicating why you would like to go into business with us:  
I understand that I may be required to have an interview and that I shall be asked to undergo a psychometric test and be required to complete an in-depth Franchisee Information Document. If the application for a Franchise is accepted I will be required to sign a Confidentiality Agreement and Comprehensive Franchise Agreement regulating all aspects of my franchise relationship with Wickedfood® Cooking School.
I declare that the above details are correct: