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7/23/2019 Marcels Franchise Application http://slidepdf.com/reader/full/marcels-franchise-application 1/16 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) be managed 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 g e : 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* Si*nat!e6666666666 0

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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