Franchise Application

1. PERSONAL DETAILS

Please help us process your application by ensuring you complete all the sections carefully and thoroughly, using black ink and capitals if you’re sending this application by post, or typing data in and submitting via email. Please also provide your current curriculum vitae (CV) as additional information.

Forename(s)

Title

Surname

Address

Marital Status

Date of Birthdd/mm/yy

Email

Home Tel

Postcode

Mobile Tel

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2.EDUCATIONAL AND PROFESSIONAL QUALIFICATIONS

Please list your qualifications for Higher Education (Degree, HND etc.) and for secondary education (O-Level / GCSEs / NVQ / A-Level)

Higher Education

Secondary Education

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3. CAREER AND EMPLOYMENT HISTORY

STARTDATE

ENDDATE

EMPLOYER ORBUSINESS

NAME & ADDRESS

POSITIONHELD

EARNINGSSTARTS

EARNINGSFINISH REASONS FOR LEAVING

DUTIES &RESPONSIBILITIES

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4a. PERSONAL FINANCIAL STATEMENT

Salary/Draw(last 12 months)

Bonus/Commission

Dividends/interest

ASSETS (£)

Cash on hand

Shares/Unit trust

Residential property mkt value

Other property (ies)

Net value of business interest

TOTAL ASSETS

Property Income

Bussiness Profits

Other income

LIABILITIES

Loans

Residential mortage

Other proprty(ies)mortgage(s)

Account/Bills due

Other debts or obligations

TOTAL LIABILITIES

NET WORTH

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4b. PERSONAL FINANCIAL STATEMENT continued

How much free capital do you have to invest in a Roosters Piri Piri franchise?

Have any of the assets on the previous page been acquired as a gift? If yes, Please explain.

Will you divest yourself of all other business interest?

Have you ever declared yourself or your business as bankrupt? If yes, please explain.

Have you ever been convicted of a criminal offence?

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5a. PERSONAL STATEMENT

How did you hear of Roosters Piri Piri Franchising?

Interests, hobbies or any other community activities?

Why do you think you can be a Rooster Piri Piri franchisee?

Describe a time when you challenged people who work for you to be more customer responsive?

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5b. PERSONAL STATEMENT

Why do you think you can be a Rooster Piri Piri franchisee?

Describe a time when you challenged people who work for you to be more customer responsive?

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5b. PERSONAL STATEMENT Continued

Describe an occasion when you personally did something to inspire your team or workforce.

REFERENCES Please give full details of two business references.

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6. FINAL DECLARATION

The facts set forth by me in this Franchisee application are true to best of my knowledge and belief. I will inform Rooster Piri Piri of any material changes to them immediately in the form of a written letter, email or telephone exchange. I authorise Rooster Piri Piri to carry out the necessary checks and investigation relating to my application as deemed appropriate. I understand that misrepresentation or omission of factual information may delay my application and /or cause Roosters Piri Piri to evaluate my application as a suitable candidate to join the Roosters Piri Piri Franchising only.

Please note that the information submitted will be treated by Roosters Piri Piri as Strictly private and confidential. Rooster Piri Piri welcome application from all sectors of the community regardless of gender, marital status , age, disability, ethnic origin, race, colour, nationality, sexual orientation, religion or belief.

Please email or send your completed form and any accompanying material to RPP Franchise Limited, First Floor Unit 19-21, Phoenix Distribution Park,

Phoenix Way, Heston, Middlesex TW5 9NB. Email franchise@roostersPiriPiri.com

Signature

Date

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