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Franchising
Welcome to our Franchise Application
Please complete the form below.
Please select the brand(s) of interest: (Multiple Selections Permissible):
*
Mochachos Chicken Villages
Skippers Fish & Chips
Bacini's Pizzeria
Cafe Bacini's
Max Frango's
Personal details
Title:
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Name:
*
Surname:
*
Identity number:
*
Nationality:
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Marital status:
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Number of dependents:
Telephone Number:
*
Cellular Number:
Fax:
E-mail:
Postal Address:
*
Physical Address:
*
Education
Highest Educational Qualification:
Name of College or Tertiary Education:
Degree/Qualification Obtained:
Describe any training/experience in sales, management, or retailing (200 character limit):
What experience do you have in the food/hospitality industry?:
Are you prepared to devote your full time to the business?:
*
Yes
No
Financial Details
Assets ( Estimated R value )
Fixed Property (s) - Market Value:
Unencumbered Cash (On Hand & Banks):
Value of motor vehicles:
Enter the current valuation of all your vehicles
Shares, stocks, marketable securities:
Surrender value of insurance policies:
Total Assets:
Liabilities
Bank loans:
Bank overdraft:
Bonds on properties:
Credit cards:
Other Liabilities
Description:
Amount:
Description:
Amount:
Description:
Amount:
Owing under instalment sale agreements:
Total Liabilities:
Net worth (assets minus liabilities):
Do you have pre-approved finance?:
Yes
No
If yes how much?:
List all Current Business interests/Employment:
What is your current gross monthly income?:
*
Do you currently own your residence?:
Yes
No
If own – What is the current bank valuation?:
How much is outstanding on your bond?:
When did you purchase the property?
month
January
February
March
April
May
June
July
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September
October
November
December
day
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2012
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1982
Have you ever been insolvent?:
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Yes
No
If yes have you been rehabilitated?:
Yes
No
Bankers Details
Bank:
Branch:
Account Number:
Bankers Name:
Bankers Contact Number:
Restaurant Location
Do you already have a site?:
Yes
No
If yes
Name of Landlord/Leasing agent:
Contact Number:
Physical Address of site:
How many square meters are the premises?:
Rental per square meter incl. ops costs?:
If no
List at least 4 area’s you would be interested in (In order of preference):
Would you be interested in an existing store?:
Yes
No
Character Survey
Do you enjoy working with customers?:
Yes
No
If yes give detail:
Give examples of how you are creative in your current job/business:
Do you consider yourself a risk taker?:
Yes
No
If yes please explain:
Do you accept the fact that you are accountable for your success or failure?:
Yes
No
Are you prepared to work at least 12 hours a day?:
Yes
No
If yes please give examples of when you have done so?:
Are you prepared to take work home with you?:
Yes
No
Do you consider yourself a leader?:
Yes
No
If yes please elaborate:
General Information
Are you prepared to relocate for a franchise opportunity?:
Selected Stores
Selected Mochachos Menu items approved
Mochachos is a full member