FORM F1A

PRIVACY
POLICY:
ALL
INFORMATION PROVIDED IS KEPT
CONFIDENTIAL AND WILL NOT BE
DISCLOSED EXCEPT FOR PURPOSES
OF VERIFICATIONS.

Single Store Package P280,000.00

P600,000.00
Multi Store Package P 330,000.00
Million

FRANCHISEE
ACCOUNT INFO &
EVALUATION FORM
FRANCHISE PACKAGES

Complete Single Store Package

Complete Multi Store package P 1.5

PERSONAL INFORMATION
Applicants Name
Present /Registered Address
Provincial Address
Years
in
Landline
Address
No.
Nature of Ownership
Own Rented Living w/parents others:
Single
Married
Cellphone
Civil Status
Widow
No.
Nationality
Fax No.
Religion
E-Mail Add
Place
of
Date of Birth
Age
Birth
Educational
College Graduate College Level Highschool
Attainment
Vocational
Current
Employment
Position/Designa
Company Name
tion

Company Address
Years Connected
Nature of Work
SPOUSE Name
Date of Birth
Employment
Status
Company Name
Company Address
Years Connected
Nature of Work

Landline No.
Fax No.
Ag
e

Place of Birth
Employed

Unemployed

Oversees

Business

Position/Designat
ion
Landline No.
Fax No.

BUSINESS INFORMATION (if with existing Business.) Note: Just add

additional page if neccessary

Registered
Business
Name
Registered

Nature
of
Busines
s

Address
No of years in
Business

Owned

Franchise

Nature of
Business

Check if
SINGLE
PROPRIETORSHIP
Name of Proprietor
_________________________
Address:
_________________________
_________________________
Nationality
_________________________
Capitalization
Initial
Php_________________
Max
Php
_________________

PARTNERSHIP

CORPORATION

Amount
Capital

Partner Name

Php
Php
Php
Total
Capitalization

If Franchised How Much:

Php _________________

Php

SEC No.
Date Registered:

Officer Name
Position
1. _____________ ________
2. _____________ ________
3. _____________ ________
4. _____________ ________
5. _____________ ________
6. _____________ ________
Capitalization
Authorized Capital: Php
________
Subscribed Capital: Php
________
Paid-up
Capital:
PHP
__________
SEC No.
Date Registered:

APPLICANTS FRANCHISE PLANS

WILL THE FRANCHISE BE OWNED AND OPERATED BY YOURSELF OR A GROUP?
(Please explain throughly)
WHEN WOULD LIKE YOUR LOCATION TO OPEN?
within 1 month within 3 months within 6 months within 12 months
within 18 moths
AMOUNT OF CAPITAL AVAILABLE FOR BOTOYS LITSON MANOK.BBQ.LIEMPO
FRANCHISE STORE?
WHERE DID YOU LEARNED ABOUT BOTOYS FRANCHISING?
TERRITORY(AREA) FOR WHICH
APPLICATION MADE

WOULD YOU CONSIDER ANOTHER AREA?

IF SO, WHAT AREA(S)?

Bank
Bank
Financial
Financial
Institution
Institution

Facility
Type

CREDIT INFORMATION
CREDIT
CARDS
Approved
Balance as of:
Approved
Amount
Credit

Bank Financial
Institution

Collateral
Approved
Credit

TRADE REFERENCES
Major
Customer

Goods Sold

Credit Terms

Contact Person

Contact
Number

Major Supplier

Goods
Purchased

Credit Terms

Contact Person

Contact
Number

PROPERTIES OWNED
Type of Property

Date Acquired

Value of Property

SKETCH OF PROPOSED LOCATION

In submitting the foregoing and statement, the undersigned

guarantees its accuracy with the intent it be relied upon in grating a
Franchise and extending credit to the undersigned and warrants that
he/she has knowingly withheld any information that might affect
his/her credit risk, and the undersigned expressly agrees to notify
Franchisor in granting a Franchise or credit may rely on this
statement as having the same force and effect as if delivered upon
the date additional stores and or expansion is requested. Applicant
agrees to allow Franchisor to obtain complete details and information
on this application for both applicant and spouse and or Partners as
signed below.
The undersigned certifies that each part of the application and
financial statement hereof and the information provided has been
carefully read and is true and correct.
Signed:

Applicants Name/Signature
Date Signed: