PERSONAL DETAILS
Name:
First
Middle
Last
Gender
Address
Town / City
County
Post Code
Telephone no:
Mobile no:
Email:
Date of birth:
Husband / Wife / Partner's name:
Present Employer / business:
Previous Employer / business:
Address:
How long employed:
Position:
Present Monthly Household income:
Educational Qualifications:
Do you have a college or university degree?
Married / Single / Divorced (please specify):
FRANCHISE DETAILS
Geographic are of interest?
Are you interested in a single or multiple stores?
Will this be a personal partnership or a corporate investment?
How much are you expecting to invest in this venture?
Do you have any existing location/s?
How quickly do you wish to commence business?
Who will operate the business?
Are you in good health? (please advise of any conditions you have)
Have you ever been charged with a criminal offence or do you have a past criminal record? Yes / No
If yes please give details:
Do you have any CCJ's or Judgements in the last 5 years?
What is your minimum monthly incoming requirement?
Have you ever opened a restaurant or hospitality business?
FINANCIAL STATEMENT
ASSETS
£
LIABILITIES
Cash at bank
Mortgage/s
Property Value
Hire Purchase / Leasing
Shares, stock and securities
Bank Loans
Cars, Vans
Credit card debt
Other Assets
Other Liabilities
TOTAL ASSETS
TOAL LIABILITIES
TOTAL ASSETS TOTAL LIABILITIES
INVESTORS
Will you have investors? if yes please complete below
Active / Silent:
% Ownership:
REFERENCES
(1) Name:
(2) Name:
Occupation:
Telelphone:
Years Known:
I, the undersigned, confirm that the information given above is true and correct and authorise Milksha to undertake character or credit references with my prior approval.
I further agree to keep any information supplied by Milksha during the course of my enquiries strictly confidential and will not share such information with third parties without the express written permission of milksha
Signed:
Date:
