1 MOST
. RECENT
APPLYING FOR:
( ) BAKESHOP
( ) FULL STORE GOLDILOCKS BAKESHOP, INC. 1 ½” X 1 ½”
( ) OTHERS FRANCHISE APPLICATION FORM
Personal Information COLOR PHOTO
In order for Goldilocks to commence processing your franchise application, you must complete the
following questionnaire in its entirety and have each investor/partner fill out separate application
Name (in full)
(Surname) (First Name) (Middle Name) Age
Residential Address (in full) Years of stay__________ Do you
( ) own home or
( ) rent or
( ) live with family / relatives
Home tel. no. Fax No. e-mail Celphone
Office Address in full
Office tel. no. Fax No. e-mail
Civil Status Citizenship Tax Identification No SSS No. Passport No.
Date of Birth Place of Birth Religion CTC NO. Date and Place of Issue
Name of Father & Mother Age Occupation / Business
( Family Name, First Name Middle Name)
Name of Spouse Age Occupation / Business
( Family Name First Name Midlle Name)
Business/Office Address Tel. No. e-mail
Name(s) and age(s) of children
__________________________________________________________ _______________
__________________________________________________________ _______________
__________________________________________________________ _______________
Describe any physical disability or health limitation
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Have you ever been convicted of any crime?_____Yes_____NO
If yes, please give details.
_________________________________________________________________________________________
_________________________________________________________________________________________
Has any legal judgment ever been entered against you or your company or your employer where you were one of the
litigants?_____Yes_____No
If yes, please give details
_________________________________________________________________________________________
___________________________________________________________________
Are you involved in any pending litigation? _____Yes_____No
If yes, what is the case.
_________________________________________________________________________________________
_________________________________________________________________________________________
Have you ever declared personal / company bankruptcy? _____Yes_____No
If yes, please give details
__________________________________________________________________________________________
_____________________________________________________________________
2
Educational Background
Name and address of school Inclusive years Degree completed Awards
High School
College
Post Graduate
Previous seminars / training attended / completed
Inclusive dates Name of Training / Seminar Conducted by
Business Experience
(Please indicate business/es currently operating and those, which closed, if any within the past 5 years use additional sheets if
necessary)
Present Business Position Years in Business
Business Address ( in full ) Tel. No. Fax No. E-mail
Nature of Business
( ) Family owned enterprise ( ) Private corporation
Past Business/employment experience ( Give last position first)
Date of employment / Name of Company Type of Business Position held
Start of business
Address Tel. No.
Describe duties/responsibilities No. of employees
supervised
Reason(s) for leaving /closure
Date of employment / Name of Company Type of Business Position held
Start of business
Address Tel. No.
Describe duties/responsibilities No. of employees
supervised
Reason(s) for leaving /closure
Date of employment / Name of Company Type of Business Position held
Start of business
Address Tel. No.
Describe duties/responsibilities No. of employees
supervised
Reason(s) for leaving /closure
3
Socio – Civic Affiliation
Membership in socio-civic organization (Pls. Indicate name and address of organization )
Name From – To Address Position
1. ________________________________ _____________ _____________________________ _____________
2. ________________________________ ______________ _____________________________ _____________
3. ________________________________ ______________ _____________________________ _____________
What were your personal contribution/s to the organization in the past two years?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Reasons for joining the organization
_________________________________________________________________________________
_________________________________________________________________________________
Please indicate memberships in clubs, homeowners association etc.
_________________________________________________________________________________
_________________________________________________________________________________
__________________________________________________________________________________________________________
Personal Financial Background
( In order for us to evaluate your personal / corporate ability to fund a Goldilocks franchise , please specify source of funding for
the project. )
Financial Assets Liabilities
Cash (in bank) P Notes payable to any bank (pls.itemize) P
Notes and accounts due me P
Inventory P
Marketable stocks/bonds P
Statement of assets and liabilities P
Total Current Assets P
Real estate P Notes payable to others P
Machinery and equuipment P Taxes payable P
Other stocks and bonds P Other liabilitiesdue within one year P
Automobiles, make and year P Total Current Assets P
Cash surrender value-life P Real estate mortgage P
insurance
Other assets P notes and bills payable after one year P
Other non-life current assets P Total non-current liabilities P
Total Assets P Net worth P
Total liabilities and net worth P
Can you personally meet Goldilocks’ financial requirements? _____ YES_____NO From what source?
Please specify. ( Use additional sheets if necessary )
_________________________________________________________________________________
_________________________________________________________________________________
Total capital available to invest in a Goldilocks Franchise Store Outlet
_________________________________________________________________________________
_________________________________________________________________________________
4
SCHEDULE A: CASH & SHORT TERM INVESTMENT
(certificates of deposit, commercial paper, money market funds, etc.)
Name of Saving Checking Other short Total Pledged?
institution Accounts Accounts term Yes/No
(amount) investments
(type &
amount)
SCHEDULE B: STOCKS AND BONDS
No. of shares or Description Market Value Cost Pledged
face value Yes/No
