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FRANCHISE INFORMATION SHEET

PERSONAL INFORMATION
Name:
Last First M.I.

Age:

Civil Status: Educational Attainment:

(please indicate school name, year graduated and course taken where applicable)

Date of Birth: (elementary) (high school) (college) (post grad) Age: Dependents' Name(s) and Age(s)

Spouse's Name: No. of Dependents:

Home Address:

Home Ownership Status: Home Phone #:

own

rented

living w/ relatives

Character Referrences:
Name Address and Contact Number Relationship

(note: by providing the information herein, you are authorizing MANG INASAL to do additional credit/ background checks against you whenever it deems necessary.)

BUSINESS AND FINANCIAL INFORMATION

Employment Status:
(please tick where applicable)

own business

employed

Company Name: No. of Years in the Company/ Business: Business Address:

Industry:

Business Phone #: Business Fax #: Bank/ Financial Documents:

Bank and Branch

Mobile #: Email:

Account Number

Contact Person and Number

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OTHER INFORMATION
1) Why do you want to franchise a MANG INASAL business?

2) Where did you learn about MANG INASAL?

3) Will you be the one managing the franchise?

yes

no

4) If your answer to number 3 is "no", who will be managing the franchise?

5) Do you plan to have a business partner in this?

yes

no

6) If the answer to number 5 is "yes", what is the level of your partner's involvement? actively involved (day-to-day management) partially involved (weekly or monthly checks and updates) silent/ industrial partner
(note: by providing the information herein, you are authorizing MANG INASAL to do additional credit/ background checks against you whenever it deems necessary.)

7) Are you willing to undergo training if ever you are awarded a MANG INASAL franchise?

8) Are you currently operating or have operated a franchised business? Please Specify.

9) Have you been convicted of any crime? Please provide details.

10) Are you currently involved in any pending lawsuits, whether criminal or civil? Please provide details

PROPOSED SITE
Complete Address: ______________________________________________________________________ Total Area in sqm: _______________ Frontage in meters: _________ [ ]Owned [ ]Leased (if the site is rented please submit lease rates ) Competitions in area: ________________________________________________________________ Landmarks: ___________________________________________________________________________

Kindly attach the vicinity map, lease offer, floor plan and TCT with the submission of this document

I hereby formalize my desire to apply for a MANG INASAL franchise, and confirm that the information I submitted herein are true and correct to my knowledge. Furthermore, I am authorizing MANG INASAL PHILIPPINES to conduct any additional background and credit checks againts me, whenever it deems necessary.

Date

Applicant Name and Signature

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