Franchise Evaluation Form
Franchise Evaluation Form
Franchise Evaluation Form
The purpose of this Form is for you to provide us general information to help evaluate your qualifications for MR
KATSU Franchise. This is not an application. If you qualify and a mutual interest develops, we will request
additional information at that time. This form should be completed by EACH proposed partner. Please print or type your
answers. You may attach additional pages if necessary to provide complete answers. Please answer all questions.
Personal Data
DATE OF APPLICATION: 20____ REF/CODE
Last Name First Name Middle Name
Company Address:
Will the franchise be owned and operated by yourself or a group? (Check below)
I plan to be a franchisee: I plan to operate the franchise:
actively involved in the business as an individual
passive and behind the scenes with partners
Please explain fully.
THIS IS NOT A CONTRACT AND SUPPLYING OR COMPLETING THIS FORM INCURS NO OBLIGATION ON EITHER PARTY.
Business Experience
Have you been in business for yourself?
Position/Title/Duties
Position/Title/Duties
Position/Title/Duties
Education
Name of School Dates of Attendance Course Attended/Graduated
Physical Condition
General Physical Condition Date of Last Physical Exam
Attending Physician
Please explain.
THIS IS NOT A CONTRACT AND SUPPLYING OR COMPLETING THIS FORM INCURS NO OBLIGATION ON EITHER PARTY.
Income
Year ____________
Other Income
_____________________________________ Php______________
_____________________________________ Php______________
_____________________________________ Php______________
_____________________________________ Php______________
References
Please list three professional and character references (Name-Address-Phone No.-Fax No. )
1.
2.
3.
Please list three Credit References (Name-Address-Phone No.-Fax No)
1.
2.
3.
Bank References (Name-Address-Checking Account/Savings Account/Others)
1.
2.
3.