OUTDOOR FOODS & BEVERAGES LTD

FRANCHISE APPLICATION

FORM
Please complete in black ink only
__________________
BUSINESS TYPE
Sole Proprietor
specify

Date (YYYY-MM-DD)

Partnership

Limited Liability Company

Other

BUSINESS DETAILS
Registered Name: ________________________________________________________________________
Registration No: ______________________________________ Registration date_____________________
PIN No.: ____________________________________________
Postal Address:_______________________________________ Code ______________________________
Physical Business Address:______________________________ Bldg/Road/Street_____________________
Contact details:_______________________________________
Contact person
Position
Telephone/Mobile Nos.

E-mail

REFERENCES
Name of firm/company

E-mail

Name of reference

Telephone/Mobile Nos.

INDIVIDUAL/DIRECTOR
Full names (Mr/Mrs/Miss/Rev/Prof/Dr):________________________________________________________
Identity No: _______________________________________ PIN No:_______________________________
Age: _____________________________________________ Marital Status:_________________________
Contacts: Postal______________________ Code ______________ Tel:____________ Email:____________
Current residence/Rd _____________________

Rental

Owned

Type of residence

Massionette

Other/specify

Apartment

INDIVIDUAL/DIRECTOR
Full names (Mr/Mrs/Miss/Rev/Prof/Dr):________________________________________________________
Identity No: _______________________________________ PIN No:_______________________________
Age: ____________________________________________ Marital Status:__________________________
Contacts: Postal______________________ Code ______________ Tel:____________ Email:____________
BINE01
Current residence/Rd _____________________

Type of residence

Massionette

Apartment

Rental

Owned
Other/specify

OTHER DETAILS
Education/professional qualifications _________________________________________________________
_________________________________________________________
_________________________________________________________
Past & Present occupation

_________________________________________________________
_________________________________________________________

Do you have any experience within

the fast food industry
If yes, please specify

Yes

No

_________________________________________________________
_________________________________________________________
_________________________________________________________

If no, do you have a passion and

what area would interest you

_________________________________________________________
_________________________________________________________
_________________________________________________________

Would you be interested in running

a snacks outlet?

Specify location, preferably an area

Yes

No

near your residence

__________________________________________________________

Do you have the ability to raise

The start-up capital Kshs 300,000
Source of funds

Yes

No

__________________________________________________________
__________________________________________________________

DECLARATION

I/we confirm that the information contained in this form is true and correct.
Name:_________________________________ Signature:__________________ Date: _______________