Vn Phng Cng Ty C Phn Trung Nguyn: 82 84 Bi Th Xun,

P.Bn Thnh, Q1, TPHCM

T: (84.8) 3 925 1845 - 3 925 1846 Fax: (84.8) 3 925 1847/48 - Email:
office@trungnguyen.com.vn

BNG NG K THAM GIA

H THNG NHNG QUYN TRUNG NGUYN
Chng ti chn thnh cm n s quan tm ca qu v i vi h thng nhng
quyn ca Trung Nguyn. Rt mong qu v cung cp cho chng ti y cc thng
tin trong bng ng k ny, y l mt trong nhng c s chng ti tuyn chn
nhng i tc tham gia vo h thng nhng quyn Trung Nguyn. Bng ng k
ny s c bo mt v khng c cung cp cho bt k bn th ba no.Bng ng
k ny hon ton khng lin quan n trch nhim ca bt k bn no.
1. Thng tin c nhn
H v tn___________________________________________Ngy sinh____________________________
S CMND/H chiu:___________________________________Quc tch :___________________________
a ch thng tr________________________________________________________________________
in thoi:__________________________________________Fax:________________________________
Email:______________________________________________Website: ____________________________
Tnh trng hn nhn:______________________________________________________________________
a ch kinh doanh:________________________________________________________________________
_______________________________________________________________________________________
2. Cng vic hin nay
Tn cng ty
:_______________________________________________________________
V tr
:_______________________________________________________________
a ch vn phng
:_______________________________________________________________
in thoi vn phng
:_______________________________________________________________
Chng ti c th lin lc vi Qu Ong/B thng qua a ch vn phng hay khng?
Khng th
C th
Lin h gi no l tt nht: _________________________________________________________________
Mc lng hin ti :____________________________________________________________________
Ti sao ng/B quan tm, c nh mua nhng quyn ca Trung Nguyn?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Trit l kinh doanh m thc ca ng/B l g?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Kinh nghim thc t ca ng/B v kinh doanh m thc, nh hng?
______________________________________________________________________________________
______________________________________________________________________________________
ng/B c mt s tnh cch cn thit sau y khng?
- o to v qun l nhn vin?
C
Khng
- X l tt c vn lin quan n nhn vin v khch hng?
C
Khng
- X l chng trnh lm vic cho nhn vin thng nht v linh hot gi gic?
C
Khng
S b v qu trnh kinh doanh ca ng/ B trong 5 nm va qua
Stt

Tn cng ty

Chc v

Thu nhp sau

thu (USD)

M t i nt v ctyngnh ngh

Thi gian lm
vic

3. Hc vn
Stt
Tn trng

Tn kha hc

Thi gian hc

Bng cp t c

4. Bng lit k ti sn:

Ti sn
Tin :
Tin trong qu
Tin gi ngn hng
Chng khon:
u t ngn hn:
u t di hn:
Bt ng sn
Bo him nhn th
Xe t
Tin tr cp
Ti sn khc;
Cc khon n s thu
Tng cng

Tng cng VN

N phi tr
N ngn hng:
N ngn hn
N di hn:
N khc

Tng cng VN

Cc ha n n hn thanh ton
Ti sn th chp
Bt ng sn th chp
Li phi tr
Tng cng

5. Thng tin ti chnh c nhn

Qu ng/ B bao gi b tht bi trong kinh doanh hoc tuyn b ph sn cha?
C
Khng
Nu c vui lng lit k khi no, u? Trong hon cnh no, k c trch nhim cn li:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
- Hin ti, Qu ng/B c bt c iu g lin quan n vic t tng hay nhng hnh ng lin quan n
lut php hay khng?
C
Khng
Nu c, vui lng nu r:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
- Qu ng/B c bao gi b kt n l ti phm khng?
C
Khng
Nu c, vui lng nu r:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
-

Vui lng lit k cho chng ti tn ca bt k ai v tt c nhng hot ng kinh doanh trong Qu ng/
B tham gia nh mt ch u t bao gm l thnh vin, l mt c ng hay t hot ng kinh doanh.
______________________________________________________________________________________

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
6. Thng tin nhng quyn
- Qu ng/B c th dnh ton b thi gian ca mnh cho cng vic ny khng?
C
Khng
- Nu khng, vui lng cho bit ti sao?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
- Ai l ngi iu hnh ca hng nhng quyn ny?
____________________________________________________________________________________
____________________________________________________________________________________
- V/chng ca Qu ng B c tham gia vo hot ng kinh doanh ca ca hng nhng quyn ny
khng?
C
Khng
- ng/b d nh s dng bao nhiu tin (USD) vo vic mua Franchise Trung Nguyn?
___________________________________________________________________________________
- ng/B ly ngn qu t u p ng chi ph thnh lp c tnh ban u?
___________________________________________________________________________________
___________________________________________________________________________________
- ng/B c vay tin gip u t kinh doanh ny khng?
C
Khng
Nu c, vui lng cung cp cho chng ti thng tin lin lc?
____________________________________________________________________________________
____________________________________________________________________________________
- L ch mt ca hng nhng quyn? Ngun thu nhp bn ngoi no Qu ng/B s c trong nm
u tin kinh doanh?
____________________________________________________________________________________
____________________________________________________________________________________
- Nu c chn tr thnh mt thnh vin chnh thc ca H thng nhng quyn Trung Nguyn,
ng /B d nh khi no khai trng ca hng?
Ngay lp tc :__________________________________Trong vng:_______________________thng
7. Ngi chng nhn - Tham kho kin:
Stt
H v tn
a ch

in thoi

Chc v

Qu ng/B c cng ai ng k tham gia h thng nhng quyn Trung Nguyn khng?
Nu c, vui lng s dng mt bn sao khc vi y thng tin nh trn.
Ti xc nhn nhng thng tin trong bng ng k trn y l y v chnh xc.
Ti k xc nhn di y y quyn cho Cng ty C Phn Trung Nguyn hoc n v c y quyn ca
Trung Nguyn xc minh bt c thng tin g c ti ng k trn. Ti hiu rng thng tin trn s khng
phi l bng chng duy nht c xt vo h thng nhng quyn ca Trung Nguyn v nhng thng tin
ti cung cp s c Cng ty Trung Nguyn lu tr bo mt.
Ngi ng k k tn

i din Cng ty C Phn Trung Nguyn