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Franchise Application
Personal Information
Full Name
Residential Address
Postal Address
Home Phone
Mobile
Email
Date of Birth
Age
Driver’s License number:
State/Territory of issue
Australian Citizen
No
Yes
Visa Status
Spouse/Partner’s name
Number of children
Age/s of children
Employment
Company name
Position title
Responsibilities
Company Address
Telephone
Start date
Please complete if at current employer for less than two (2) years:
Occupation
Company name
Position title
Responsibilities
Company Address
Telephone
Start date
Finish date
Education
Please detail your educational background / formal training:
Name of Institution
Course name
Qualification attained
Certificate
Diploma
Degree
Year of attainment
Name of Institution
Course name
Qualification attained
Certificate
Diploma
Degree
Year of attainment
Have you previously owned your own business?
No
Yes
Name of Business
Type of Business
Date started
Date finished
Name of Business
Type of Business
Date started
Date finished
Please detail additional work experience / training that you feel is relevant to your application:
List the three main reasons that you would like to open your own Easy Way franchise:
Why do you believe you are suited to the Easy Way franchise?
Financial Information
ASSETS:
Value of Primary Residence
Value of Investment property
Cash on hand
Business interests
Shares
Other (please detail)
TOTAL ASSETS
LIABILITIES
Mortgage on primary residence
Mortgage on investment property
Bank loans
Credit cards
Other
TOTAL LIABILITIES
What is your current gross (before tax) income from all sources?
Please note that you may need to provide documentary evidence of your financial information if your application proceeds
Have you ever been bankrupt or the subject of debt collection proceedings
No
Yes
Details
Have you ever been a Director or shareholder of a Company which has been placed under receivership, administration or liquidation
No
Yes
Details
How do you propose to fund the total purchase of your Easy Way franchise?
Equity
Loan
Do you require assistance to obtain funding?
No
Yes
Will you have a business partner?
No
Yes
If YES, name/s of business partner
What involvement will they have in the business?
Please note that a separate application form and financial statement of any partner will be required to support your application
References
Accountant
Name
Position title
Company
Address
Telephone
Email
Solicitor
Name
Position title
Company
Address
Telephone
Email
Personal
Name
Address
Relationship
Telephone
Email
Bank and Credit references
Bank
Branch
Telephone
General Information
How many hours per week are you planning to work in the business?
Do you feel you have the ability to lead a team of employees?
No
Yes
Do you feel you have the ability to train your employees?
No
Yes
Are you committed to complete the Easy Way training program?
No
Yes
Are you committed to comply with the systems, policies and procedures of Easy Way?
No
Yes
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