FC Info Sheet - Final
FC Info Sheet - Final
FC Info Sheet - Final
Date of Birth (MM-DD-YYYY) Birth Place Age Citizenship Civil Status Gender
Doctorate Doctorate
TIN ID ____260-399-464______________________________
*Please attach at least two (2) gov’t issued IDs. October 2017
OWNED BY RELATIVES*
B. Do you anticipate your immediate family member or relatives to work with you in operating the store?
x Yes No
BUSINESS/EMPLOYMENT REFERENCES
______________________________________________________
Name and address of at least three (3) business associates or current or previous employer:
Name Position Co. Name & Address Tel. No.
1 ____________________________________________________________________________________________ _____________________
2____________________________________________________________________________________________ _____________________
3 ____________________________________________________________________________________________ _____________________
4____________________________________________________________________________________________ _____________________
Membership in various professional, business or civic organization:
Name of Organization Position Length of Membership
1______________________________________________________ __________________________________ Page 2 of 5
___________________________
ANNEX “A”
BUSINESS/EMPLOYMENT PROFILE OF APPLICANT, SPOUSE OR IMMEDIATE FAMILY MEMBERS.
Please give details of business you owned and/or run you have been employed with for the last 5 years. (OPERATIONAL)
A. Applicant:
B. Spouse:
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FINANCIAL PROFILE
P400,000.00
Please indicate the amount of capital you can make available for this business.
If you need additional funds for the business, how much additional funds would you need?
(Checking, savings, etc.) 13. Credit Cards – total balance payable Php __ ______
2. Stocks and bonds Php_____________ 14. Total Mortgage- Primary Residence Php_ ______
3. Value of Real Estate, Primary Residence Php___1M__________ 15. Mortgage due on other Real Estate Php__ ______
4. Value of other Real Estate Php_____________ 16. Other Liabilities – Attach List
Attach list (i.e. IRA, 401k, CD, etc.) Php_____________ 17. Total Liabilities Php________ ______
7. Salary(ies), Wages or Commissions Php_____________ 18. Net Worth (subtract line 17 from line 6)Php__ __ ___
8. Real Estate Income (Rental Property) Php_____________ (Note: A complete financial statement will be
9. Other Income – Attach List Php_____________ required prior to qualifying for a 7-Eleven franchise)
(add lines 7 to 9)
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MONTHLY EXPENSES INVESTMENT
October 2017
Do you intend to own/control the franchise business all by yourself, or do you have other investment partners in mind?
Yes x No
I hereby represent that all of the above answers are true and complete to the best of my knowledge and belief. As proof,
attached herewith are copy of my two (2) government released ID’s.
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