FRANCHISE BUSINESS APPLICATION

Transcription

1 FRANCHISE BUSINESS APPLICATION LOCATION INTENDED : NAME OF APPLICANT : NEW NRIC NO. : OLD NRIC NO. : PERSONAL INFORMATION OF POTENTIAL FRANCHISE Single Separated Married Divorced Number of Children: _ Age : Other Dependent : Own Home Rent Home Payments Rental payments RM per month If house owner-monthly payments RM APPLICANT APPLICANT S SPOUSE Name : Name : Telephone : Telephone : Birthdate : Birthdate : Physical Information Physical Information Height : Weight : Height : Weight : Physical limitations or health concerns : Physical limitations or health concerns : Education Record : Education Record : High School High School LCE LCE MCE MCE College / University College / University Employment Record of Applicant Employment Record of Applicant Current Employer : Current Employer : Present Salary : Present Salary : Description of work : Description of work : Page 1 of 5 F/2008

2 PREVIOUS BUSINESS OWNED Have you ever owned your own business or other type of Business? If so give the following details. Business Name : How Long Owned : Address : How many employees : _ Nature of Business : Are you an Avon Dealer? Yes No If yes, what is your LOA with Avon : Past payment experience with Avon : Status achieved : UM UD UE Ordinary Dealer Current balance owing to Avon : Area intended to set up Avon Puteri : Current personal stock balance on hand : RM Page 2 of 5 F/2008

3 FINANCIAL INFORMATION Net Worth Summary Current Assets Current Liabilities Cash in current A/C RM Note Payable RM Cash in Savings A/C RM Total Current Assets RM Short Term Loan RM Total Current Liabilities RM Property, house Fixed Assets Describe Long Term Liabilities Other Assets RM Shares Automobiles Money due to you Total RM Total Assets RM Total Liabilities RM Net Worth (Assets Liabilities) RM How much capital can you allocate from the above sources to set up this franchise : RM _ If the required amount is not available how would the investment be obtained : Should you require additional fund on a adhoc basis, will you be able to do it? Yes No If yes, how? Do you plan to convert the above asset into cash? Yes No Page 3 of 5 F/2008

4 Do you plan to have partner? Yes No If yes, will the partner be active? Yes No Details of Partner PARTNER PARTNER S SPOUSE Name : Name : Telephone : Telephone : Birthdate : Birthdate : Physical limitations or health concerns: Physical limitations or health concerns: Education Record : Education Record : High School High School LCE LCE MCE MCE College / University College / University Employment Record of Applicant Employment Record of Applicant Current Employer : Current Employer : Present Salary : Present Salary : Description of work : Description of work : Will you be operating your outlet? Yes No Will you be hiring assistants? Yes No Do you plan to have investor? Yes No If yes, to what extent? _ What is the minimum income you need to maintain your family during the first year of business : RM _ Other income sources? When do you want to start your franchise operation? How did you happen to become interested in this particular franchise? Page 4 of 5 F/2008

5 What is your personal goal? 6 months from now : _ 1 year from now : _ 2 years from now : _ 5 years from now : _ State your reasons for believing you will be able to successfully operate one of our franchise and to provide any additional information you believe will advance your application. This application for consideration does not obligate you in any way nor does it imply the approval or granting of a franchise or license agreement between you and Avon Cosmetics (M) Sdn Bhd. STATEMENT OF DECLARATION I certify that the information provided above is valid and complete. Avon Cosmetics (M) Sdn Bhd is authorized to conduct an investigation report/inquiry that is deemed necessary in order to verify the accuracy of the information above and to determine my credit worthiness/financial standing. APPLICANT S SIGNATURE DATE Page 5 of 5 F/2008