marcels franchise application
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7/23/2019 Marcels Franchise Application
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FRANCHISE APPLICATION
PERSONAL PARTICULARS
Surname: First Names:
Date of Birth: Age: ID Number:
Nationality:
Residential address: Contact Details:
Code: Home:
Postal address: Wor:
Cellular:
Code: Fax:
E-Mail:!arried " # $nmarried " #
IN%&$' of (ommunity of )ro)erty* In " # &ut " #
When +ould you be able to start training*
Will the sho) bemanaged by yourself*
,es " # No " # If not, please supply details of manager.
If yo a!e "a!t of a syn#icate$ "lease s%&it yo! "a!tne!'s #etails:( A )ersonal a))li(ation must be submitted by ea(h )ros)e(ti-e fran(hisee or by ea(h indi-idual
)artner%member%shareholder or )ros)e(ti-e fran(hisee. together +ith a))li(ation form
Surname: First Name:
Date of Birth: A
ge:
ID Number:
Nationality:
Residential address: Contact Details:
Code: Home:
Postal address: Wor:
Cellular:
Code: Fax:
E-Mail:
S)ol# yo! a""lication %e sccessfl #o yo inten# in o"e!atin* t)e %siness in yo!:Pe!sonal ca"acity + , Close Co!"o!ation + , Co&"any + , T!st + ,
Na&e of +CC, +PT., +TRUST,: //////////////////////////////////////////
Re*ist!ation n&%e!: ////////////////////////////////////////////////
0AT n&%e!: /////////////////////////////////////////////////////// Please indi(ate shareholding should there be / or more members:
Me&%e! 1: Me&%e! 2:Me&%e! 3: Me&%e! 4:
Otlet A!ea of P!efe!ence:
1 5aten*
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12hb:
1Pretoria:
1&ther:
2 7este!n Ca"e:
1Ca)e 'o+n 3 Surroundings:
1West Coast:
14arden Route:
1&ther:
3 Natal:
1Durban :
1Pietermarit5burg:
1South Coast:
1North Coast:
1&ther:
4 M"&alan*a:
1S)e(ify:
8 No!t)e!n P!o9ince:
1S)e(ify:
No!t) 7est:
1S)e(ify:
; Easte!n Ca"e
1S)e(ify:
< F!ee State
1S)e(ify:
= No!t)e!n Ca"e
1S)e(ify:
PERSONAL PROFILE
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Please >!ite a %!ief "e!sonal "!ofile in#icatin* %siness an# "e!sonal ex"e!ience an# *oals:
1? @siness 5oals:
2? Mana*e&ent P)iloso")ies:
3? Pe!sonal @siness 5oals:
4? Pe!sonal @siness Ac)ie9e&ents:
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8? 7)y #o yo >ant to "!c)ase o! o"en a Ma!celBs otlet
? 7)y #o yo t)in yo >ill %e sccessfl as a f!anc)isee
;? 7)at #o yo ex"ect o! nee# to ea!n f!o& a Ma!celBs otlet
EDUCATIONAL UALIFICATIONS
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S(hool:
4rade%Standard Passed: ,ear:
$ni-ersity 89em)tion: ,es " # No " #
POST SCHOOL UALIFICATIONSG
8stablishment: Date:
ualifi(ation;s<:
!a=or sub=e(ts:
EMPLO.MENT HISTOR.
Details of e&"loy&ent - )isto!y of last 8 yea!sG:
Current Com)any:
Position:
8m)loyment > From: 'o:
Res)onsibilities:
Reason for lea-ing:If not c!!ently e&"loye#t)e!eG
Pre-ious Com)any:
Position:
8m)loyment From: 'o:
Res)onsibilities:
Reason for lea-ing:If not c!!ently e&"loye# t)e!eG
Pre-ious Com)any:Position:
8m)loyment > From: 'o:
Res)onsibilities:
Reason for lea-ing:If not c!!ently e&"loye#t)e!eG
@AC5ROUNDHISTOR. ON .OUR @USINESS CAREEREPERIENCE
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LE5AL UESTIONNAIRE
Ha-e you or any (om)any that you +ere a dire(tor of or any (lose (or)oration that you +ere a member of.e-er been se@uestrated. li@uidated or +ound u)* ,es " # No " #
If ,es > State dated +hen rehabilitated:
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Is there any outstanding litigation against you or your )artners* ,es " # No " #
If ,es > )lease su))ly details:
Ha-e you e-er been in-ol-ed in running your o+n business* ,es " # No " #
If ,es > )lease su))ly details:
Ha-e you or any (om)any that you +ere a dire(tor of or any (lose (or)oration that you +ere a member of.stood as surety%guarantee for the obligations of any )erson or entity* ,es " # No " #
Name:
Ha-e you or any (om)any that you +ere a dire(tor of or any (lose (or)oration that you +ere a member of.
been se@uestrated* ,es " # No " #
If ,es. )lease gi-e the follo+ing details:
Name of i@uidator%'rustee:
'ele)hone Number: Address:
FINANCIAL
1? P!esent @anin* Instittion:Ban:
Bran(h:
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A((ount Number:
Duration at the ban*
&-erdraft fa(ility ,es " # No " # Amount of &-erdraft Fa(ility: R
Current Ban Balan(e: R attac) latest 3 &ont)s %an state&entsG
Se(urity gi-en to Ban for &-erdraft Fa(ility: ,es " # No " # attac) co"ies of all sec!ity #oc&entsG
2? C!!ent In9est&ent Po!tfolio:
Institution:
'y)e of In-estment:
alue of In-estment:
3? P!o"e!ty Po!tfolio
4? @siness Po!tfolio
C!e#it Refe!ences:
E0 Com)any:
Bran(h:
A((ount Number:
E/ Com)any:
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Bran(h:
A((ount Number:
E6 Com)any:
Bran(h:
A((ount Number:
Pe!sonal Refe!ences:
E0 Name:
Position:
Address:
Code:
'ele)hone Number: Code:
@siness Refe!ences:
E0 Name:
Position:
Address:
Code:
'ele)hone Number: Code:
E/ Name:
Position: Address:
Code:
'ele)hone Number: Code:
E6 Name:
Position:
Address:
Code:
'ele)hone Number: Code:
CURRENT MONTHL. INCOME AND EPENDITURE
Mont)ly Inco&e: R
Salary > o+n
Salary > s)ouse
Commissions
In-estmentsRental In(ome
Consltin* Fees
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Inte!est
TOTAL INCOME R
Mont)ly Ex"en#it!e:'a9ation
Pension
$IF
!edi(al Aid
Rent%Bond )ayments
8le(tri(ity 3 Water
Rates and 'a9es
Hire Pur(hase Installments
ease Agreements
Credit Card A((ounts
Insuran(e Premiums
ife Assuran(e Premiums'rans)ort % )etrol
oan Re)ayments
Donations
Alimony%!aintenan(e
Childrens Clothing % 8du(ation
8ntertainment
4ro(eries
Clothing A((ounts
'ele)hone A((ounts
Do(tor%Chemist
Cell )hone a((ount
!aid % 4ardner ' rental % ! Net
TOTAL EPENDITURE R
Inco&e less Ex"enses R
STATEMENT OF ASSETS AND LIA@ILITIES
LIA@ILITIES
Balan(e Sheet of:
Note – Income and Expenditure to be detailed on back page.
Should space not permit, please attach applicable schedules
@on#s And%or amounts o+ing under Deeds of Sale C!!ent .ea!
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Name of Farm or Plot No Name of Bondholder%Seller Annual Ca)italredu(tions !aturity Date
@an O9e!#!aftsS)e(ify briefly Se(urity gi-en
O>in* n#e! Install&ent sale t!ansaction an# Leasin* t!ansactiona*!ee&ents!o-eable en(umbered 'o Whom Installments Payable Amounts still o+ing
@ills Paya%le
Sn#!y C!e#ito!s
Loans Incl#in* Ins!ance Co&"aniesG'o +hom due Interest Rate When re)ayable Amount
Ot)e! lia%ilities S"ecifyG
Note: State if any of the above liabilities are covered by a Notarial Bond
Lia%ility fo! Inco&e Tax;Date to +hi(h Assessment )aid<
'&'A IABII'I8S ;uantifiable<
S"ecify )e!e Contin*ent Lia%ilities as 5a!anto!$ S!ety o! ot)e!>ise:
I7e )e!e%y #ecla!e t)at t)is is a fll$ t!e an# co!!ect State&ent of all no>n lia%ilities at t)e a%o9e#ate
Date# at /////////////////////////////////////////////////////////// on2J1J
Signature: KKKKKKKKKKKKK
STATEMENT OF ASSETS AND LIA@ILITIES
Balan(e Sheet of:
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ASSETS PROPERTIES
Note – Income and Expenditure to be detailed on back page.Should space not permit, please attach applicable schedules
Fixe# P!o"e!tyiesG Re*iste!e# in &y na&e C!!ent .ea!
4i-e )arti(ulars of ea(h Pro)erty se)arately. stating +hether Freehold.easehold. et( and state if Affe(ted by any Ser-itude. $sufru(t or Fidu(iary Interests
Name of Farm or Plot No Si5e Distri(t Date )ur(hased%)ri(e)aid !C%DC
IN0ESTMENTS
In9est&ents P!i9ate co? S)a!eLoans$ etc?G
LoansBy Whom Interest Rate When re)ayable Amount
Life Policies Paya%le to t)e n#e!si*ne# an# not to any t)i!# "a!tyG
Date Issued Com)any Number !aturity Date Amount Surrender
alue less oans
S)a!esNumber held Com)any!aret alue
Stoc in t!a#e
@oo De%ts
@ills Recei9a%le Not Disconte#G
@an @alances S"ecifyG
Cas)
4ood+ill and other assets ;S)e(ify<
Note: State if any assets a!e enc&%e!e#
TOTAL ASSETS
LESS: LIA@ILITIES
NET 7ORTH
I7e )e!e%y #ecla!e t)at t)is is a fll$ t!e an# co!!ect State&ent of &yo! "osition at t)e a%o9e #atean# t)at &yo! assets a!e not enc&%e!e# ot)e! t)an as state# a%o9e?
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PLEASE NOTE:
APPLICATION FORMALITIES AND PROCEDURES
0 'hat all information +ill be regarded as (onfidential and )ri-ate
/ 'his a))li(ation +ill not obligate !ar(els in any manner
6 'he A))li(ant a(no+ledges that the a))ro-al by !ar(els of this a))li(ation shall not result in afran(hise or membershi) agreement bet+een the )arties 'he A))li(ant a(no+ledges that he isa+are that no -alid fran(hise or membershi) agreement shall be (on(luded bet+een himself and!ar(els unless and until:
At least 07 ;F&$R'88N< days ha-e ela)sed sin(e the A))li(ant has had sight of the DISC&S$R8D&C$!8N'L
All re@uirements sti)ulated by !ar(els after (onsideration of this a))li(ation ha-e been met in full. in(luding.but not limited to:
;a< 'he e9e(ution by A))li(ant of a -alid fran(hise%membershi) agreement )resented to him by !ar(els:
;b< 'he e9e(ution of all further do(uments in terms +hereof all se(urities re@uired by !ar(els ha-e been)ro-ided to the latter. and all se(urities ha-e been duly register and%or )ro(ured by !ar(elsL and
;(< All further re@uirements that may be re@uired by !ar(els ha-e been duly met by the A))li(ant
7 In the e-ent of this a))li(ation being refused by !ar(els. the a))li(ation fee shall be forfeited infa-our of !ar(els. +here !ar(els in(urred (osts in res)e(t of tra-eling. (onsultations. dra+ing of
)lans or any e9)enditure in res)e(t thereto
? 'he A))li(ant is hereby ad-ised to (ondu(t an inde)endent in-estigation of the business as a))liedhere for. and is ad-ised to obtain inde)endent ad-i(e from a legal )ra(titioner. auditor. and%orfran(hise (onsultant +hi(h +ritten (onfirmation by su(h ad-isor is to be lodged +ith !ar(elssimultaneously +ith lodgment of this A))li(ation
I n#e!stan# t)at Ma!celBs$ is !elyin* "on all t)e a%o9e info!&ation as a &ate!ial facto! inconsi#e!in* &y a""lication to %eco&e a f!anc)isee of t)ei! *!o"$ an# I t)e!efo!e a*!ee to "!o&"tly
notify Ma!celBs of any &ate!ial info!&ation c)an*es?
Si*ne# at: on this MMMMMMM day of MMMMMMMMMMMMMMMM/J0J
Si*nat!e:
ETRACTS OF THE MINUTES OF THE MEETIN5 OF DIRECTORS MEM@ERS TRUSTEES
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MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM '%A MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM
H8D at MMMMMMMMMMMMMMMMMMMMMMMMMMM Jn the MMMMMMMMMMMMMMMMMMMMM day of MMMMMMMMMMMMMMMMMMM
IT 7AS RESOL0ED THAT:
0 'he Com)any % Close Cor)oration % 'rust may a))ly to !ar(els to be(ome a !ember % Fran(hisee of the Fran(hise Di-ision. to (om)lete and sign the re@uired A))li(ation form. to )resent !ar(els +ithall re@uired do(umentation and to resume and a((e)t all the rights and obligations in terms of su(h A))li(ation
/ MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM in his (a)a(ity as Dire(tor % !ember % 'rustee be
authori5ed to sign the Fran(hise Agreement on behalf of the Com)any % Close Cor)oration % 'rust
CERTIFIED A TRUE COP.:
DIR8C'&R % !8!B8R % 'R$S'88
DIR8C'&R % !8!B8R % 'R$S'88
DIR8C'&R % !8!B8R % 'R$S'88
CONSENT AND DECLARATION
CREDIT @UREAU
T)e A""licant )e!e%y:
• (onsents and a))ro-es for !ar(els to (arry out a (redit en@uiry in res)e(t of the A))li(ant
and%or any of its members. shareholders. dire(tors. )artners or trustees. either by a((essingany (redit agen(ys database or maing in@uiries +ith any (redit grantors for )ur)oses of
maing any ris management de(ision regarding this a))li(ationL
• de(lares that the information su))lied herein or atta(hed hereto. is true and (om)lete in
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e-ery res)e(tL
• is a+are that should any information be found to be false or in(om)lete this (ould lead to the
refusal of this a))li(ation or to (riminal )rose(ution
SI5NED at ////////////////////////////// on t)is ////// #ay of ////////////////////// 2J1J
/////////////////////// /////////////////////////// 7ITNESS APPLICANT
PLEASE INCLUDE COPIES OF THE FOLLO7IN5 DOCUMENTATION 7HEN SU@MITTIN5 THISAPPLICATION FORM
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A (ertified (o)y of:
C0
or
Certifi(ate of In(or)oration
Certified (o)ies of Identity do(uments of all the members. shareholders or )artners (on(erned +ith theFran(hise
Co)ies of Registration (ertifi(ates and numbers of your (om)any +ith the follo+ing authorities:
Re(ei-er of Re-enue > A'
Re(ei-er of Re-enue > PA,8
Re(ei-er of Re-enue > Com)any 'a9
De)artment of !an)o+er > $IF
Wormens Com)ensation
Confirmation by all baners ;in(luding bonds%loans< of ban balan(e%outstanding balan(e
Co)ies of )ro)erty deeds
Ban Statements
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