Franchisee Application Form Personal Information Full Name Date of Birth Phone Number Email Address Residential Address Preferred City/Location for Franchise Business Background Do you have prior experience in running a business? yes No If yes, please provide details Have you ever owned or managed a restaurant/food business? yes No If yes, please provide details Current Occupation & Company Are you currently involved in any other franchises? yes No If yes, please provide details Financial Information Approximate net worth: Less than $100,000 $100,000 – $250,000 $250,000 – $500,000 Over $500,000 Liquid capital available to invest: Less than $50,000 $50,000 – $100,000 $100,000 – $250,000 Over $250,000 Do you plan to finance your investment through a loan? yes No Do you have partners/investors who will be part of this franchise? yes No If yes, please provide details Franchise Interest Why are you interested in NashubChicken? What makes you a good fit to operate a franchise? How involved will you be in daily operations? Full-time Part-time Investor only How soon would you like to open a franchise? 0–6 months 6–12 months More than 12 months Which type of franchise are you interested in? Standalone Restaurant Kiosk Mall Outlet Food Truck Other Legal & Compliance Have you ever filed for bankruptcy? yes No Do you have any pending lawsuits or legal disputes? yes No Do you have the legal right to work and operate a business in this country? yes No References References 1 Name Contact Number Relationship References 2 Name Contact Number Relationship References 3 (optional) Name Contact Number Relationship Do you authorize us to contact your references? yes No Supporting Documents (Upload) Resume or CV Proof of Funds (bank statement, financial letter) Government-issued ID copy Declaration & Consent I hereby declare that all information provided is true to the best of my knowledge. I consent to NashubChicken contacting me regarding my application. Date Send
