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Preference 1: Please type full address
Preference 2: Please type full address
Most Recent Photo
Please type address in full
Years of Stay
Place of Birth
1. Have you ever been charged of anything other than minor traffic violations? If YES, please give details and inclusive dates.
2. Has any judgment ever been entered against you or your company or your employer where you were one of the litigants? If YES, please give details and inclusive dates.
3. Are you involved in pending litigation? If yes, explain. If YES, please give details and inclusive dates.
4. Have you ever declared personal bankruptcy? If YES, please give details and inclusive dates.
5. Is this the first time you’re applying for a Jollibee franchise? If NO, please give details of previous application and the applied franchise area.
Last year of school completed
Name of college and/or postgraduate school
Please list other academic degree/courses taken/completed
For each degree/course include degree description, inclusive date/year and awards/citations
Please indicate business/es currently operating and those which closed if any within the past 5 years
Describe duties, number of employees supervised and responsibilities
Nature of Business
Manufacturing Marketing/PR/Advertising Food/Restaurant Retail/Wholesale Banking/Finance Other
Type of Business Ownership
Years in Operation
No. of Branches
Applicant’s Annual Income
Previous Business Experirence (Type exact names, addresses and dates. List most recent first)
Business Experience 1
Briefly describe duties and responsibilities
Business Experience 2
Business Experience 3
Business Experience 4
Business Experience 5
INCOME STATEMENT FOR 12 MONTH PERIOD ENDING
Salary, wages, bonus, commissions
Other income - specify source, e.g., business profits (self-employed), trust, spouse, etc.
Please provide details on the following asset verification schedules (schedule numbers in parenthesis)
Cash on hand and in bank
Vested profit sharing
Notes, accounts and mortgages receivable
Real estate-current market value
Net value of business interests
Other-automobiles and other personal property, etc.
Real estate mortgages
Other debts or obligations
Total liabilities and net worth
Listed securities, bonds/debentures
Current mkt. value
TOTAL (Current mkt. value)
Relation to applicant
Nature of debt
Original face value
Total (Present balance)
Loans/notes/accounts/bills payable (excluding mortgages)
(e.g., stock options, cash value of life insurance, automobiles and other personal property, etc.)
Current fair market value
Total (Current fair market value)
Other debts and liabilities
(e.g., insurance loans, alimony, child support, leases, contracts, legal claims, judgements, chattel mortgages, taxes, comaker or guarantor, etc.)
Address and description of property (residential, rental, vacant)
Title in name(s) of
Original mortgage amount
Mo. payments (incl. taxes, assessments)
Current market value
Current mortgage balance
Total (Current market value)
Total (Current mortgage balance)
Total (Net Value)
Name and address of business
Type (partner, corp., sole)
Names of all owners
Buy/sell agreement yes/no
Net value your interest
Total (Net Value your interest)
Does your spouse or another person have any interest in any of the above assets? If yes, explain and list assets.
Have any of the above assets been acquired by you as a gift? If yes, specify assets, from whom and when.
Organization 1 (e.g. Rotary, Lions, Jaycees, Mason, etc)
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List any hobbies, community activities, special interests or other pertinent information
Are you related by blood or marriage to any officer of Jollibee Foods Corp.? If yes, indicate name and relationship.
Are you or your employer providing products, goods or services to Jollibee Foods Corp. or franchisees of Jollibee Foods Corp. ? If yes, please attach detailed information.
Will you devote your full time to this business?
Have you ever worked in a Jollibee restaurant? If so, where and when?
Have you ever applied for a Jollibee s franchise? If so, where and when?
Personal References (other than employers or relatives)
Name in full
By clicking check box bellow, I confirm that all the information given by me in this eightpage form is current, true and correct.
I hereby authorize Jollibee Foods Corporation to verify and investigate the undersigned from whatever sources deemed appropriate.
I fully understand that falsifying any information contained herein is sufficient ground for rejection of my application or termination of any contract that may hereafter be executed between Jollibee Foods Corporation and the undersigned franchise applicant.
I understand and accept terms and condition.
Carefully read certification and 'check' box bellow before you can submit form, by clicking 'submit' button.
Review your information before submission.
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