Q U AL I F I C AT I O N F O RM

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ID PICTURE

IDENTIFICATION
Last Name First/Given Names Middle Name Name Suffix
GARCIA ALYSSA RACHEL BERNARDINO
Gender Civil Status Date of Birth Age
FEMALE SINGLE 06/24/1989 31
Country of Birth Nationality / Citizenship Country of Current Residence
PHILIPPINES FILIPINO PHILIPPINES

CONTACT DETAILS (Please include + area code)

1 Residence No. N/A Mobile No. CINCO CORPORATION

0917-941-5168
Business No. N/A Fax No. N/A

Social Messaging App Used FACEBOOK, INSTAGRAM, TELEGRAM, VIBER, WECHAT

Preferred Means of Communication MOBILE PHONE
Best Time to Call: 8AM-5PM

Email Address: KITOYGARCIA@YAHOO.COM

Primary Line 1 3 KAUNLARAN ST. KAWILIHAN VILLAGE PASIG CITY

Home Line 2 , BAGONG ILOG, 1600
Address Province N/A

BUSINESS EXPERIENCE
Present
Present Occupation and/or
PHYSICIAN – RESIDENT ANESTHESIOLOGIST
Function
No. of Years in
Name of Company RIZAL MEDICAL CENTER 2 YEARS
Company
PASIG BLVD PASIG CITY, BRGY
Company Address Company Tel No.
PINEDA
Previous
 Previous Occupation
CALL CENTER AGENT
and/or Function
No. of Years in
Name of Company CONVERGYS TECHNOHUB 1 YEAR
Company
Contact Permission
May we contact your present employer? YES

BUSINESS INTEREST
Potato Corner Experience
Have you been a customer of Potato Corner? YES
THERE WAS A TIME THAT I WOULD
If Yes, how many times have you visited Potato Corner and BUY IT DAILY FOR 3 MONTHS, BUT
what product/s do you order often? NOW ITS 2-3X WEEKLY. MEGA BBQ
WITH POWDER ON TOP
What do you think makes customers come to Potato Corner? TASTE! IT REALLY MAKES YOU HAPPY!
Business Perspectives
I LOVE THE PRODUCT! IT ALWAYS
What is your main reason for considering a Potato Corner
STARTS THERE. WHY SELL SOMETHING
franchise?
YOU DON’T LIKE.
I CAN MANAGE DOZENS OF TASKS AND
MANAGE A CAREER IN ONE SWING,
COUPLED WITH EXPERIENCES FROM
What do you think will make you a successful Potato Corner MY GRANDPARENTS WHO HAVE
franchisee? OWNED A BUILDING, SEWING
MACHINE BUSINESS AND FARM. THEY
HAVE TAUGHT ME A THING OR TWO
WITH MANAGING A CAREER.
2 CINCO
ALL BUSINESSES HAVECORPORATION
ITS UPS AND
DOWNS. BUT WITH POTATO CORNER, I
KNOW IT CAN BE SUCCESSFUL
What are your expectations in having a Potato Corner
COUPLED WITH MY ENTHUSIASM AND
franchise?
LOVE FOR THE PRODUCT, I SURELY AM
100% CONVINCED THAT THIS WILL BE
ONE OF MY ACHIEVEMENTS IN LIFE.
1. FROM JUNIOR INTERNSHIP TO
POST GRADUATE INTERN AND
RESIDENCY, I HAVE ALWAYS
HAD THE ROLE OF BEING THE
LEADER, THE ONE WOULD
What, in your background, will assist you in successfully
MANAGE AND TRY TO
managing a Potato Corner franchise?
CONCIEVE A PLAN FOR A
BETTER OUTCOME IN EVERY
SHIFT.
2. TIED UP WITH BUSINESS ALONG
WITH MY GRANDPARENTS
What experience/s have you had in following systems and IT STARTED WHEN I WAS WORKING IN
procedures? A CALL CENTER, YOU ASSESS AND
UNDERSTAND THE PROBLEMS OF THE
CLIENT (IN TERMS OF TECHNICAL
SUPPORT) WE FOLLOW A PROTOCOL
ON HOW TO DETERMINE WHAT IS THE
PROBLEM AND HOW TO RESOLVE IT
SAME AS WITH BEING A DOCTOR, YOU
HAVE TO HAVE A DEFINITIVE PLAN ON
HOW TO COME UP WITH A DIAGNOSIS,
ASSESS WITH HISTORY TAKING AND A
THOROUGH PHYSICAL EXAMINATION.
THEN YOU COME UP WITH A
 DIAGNOSIS AND A PLAN ON HOW TO
HELP THE PATIENT.
MY LIFE IS ALL ABOUT FOLLOWING A
CONCRETE WORKFLOW THAT IS BEST
FOR ME AND THE PATIENT/CLIENT.
BEING ABLE TO HAVE AN OPEN MIND
AND TRY TO UNDERSTAND THE
What to you is ‘OPEN COMMUNICATION’?
SITUATION IN ANOTHER PERSON’S
POINT OF VIEW.
BEING AN ANESTHESIOLOGIST, WE
WOULD ALWAYS THINK “TWO STEPS
AHEAD” OF THE SITUATION. IN ANY
GIVEN SITUATION, YOU SHOULD
ALWAYS HAVE A BACK-UP PLAN, NO
When you encounter difficulties in your Potato Corner
MATTER WHAT THE SITUATION MAY
franchise, what will be your plan of action?
BE. ASSESS THE PROBLEM FULLY, LIST
THE THINGS WITH WHAT HAD GONE
WRONG AND SHOULD HAVE DONE
RIGHT. AND FROM THERE, GET THE
BEST POSSIBLE ANSWER.
ONE OF THE THINGS IM GOOD AT IS
THAT I CAN MULTITASK. FROM DOING
ADMINISTRATIVE WORK WHILE IN A
PROCEDURE IS ONE OF THE THINGS I
CAN DO. AND HAVING A BUSINESS
WHICH I TRULY AM PASSIONATE
ABOUT (MOST ESPECIALLY THAT ITS
To what extent will you be involved in the day-to-day ONE OF THE BEST PRODUCTS I HAVE
operations of the franchised branch? EVER TASTED), I WOULD DEFINITELY
BE INVOLVED IN A DAILY BASIS. TO
THE POINT OFCINCO
BEING THERE DURING
CORPORATION
3
MY OFF. COZ’ YOU NEED TO BE IN
SERIOUS RELATIONSHIP WITH THE
THINGS YOU DEAL WITH. AND THIS
WILL BE ONE OF THOSE IMPORTANT
THINGS.
Business Financing
What percent of the equity of this franchise business will you
100% OF IT
own?
What amount of cash will you personally invest in this
500K-800K, MORE IF THE NEED ARISES
franchise?
What will be the source of these funds? SALARY AND SAVINGS
Will you and your family completely depend on the income NO, BECAUSE WE HAVE OUR JOBS
generated from having a Potato Corner franchise? THAT CAN SUSTAIN OTHER EXPENSES.
BUT THIS FRANCHISE CAN BE OF
If YES, what is your income expectation? If NO, what are the GREAT VALUE SO THAT WE CAN
other sources of your family income? AFFORD MORE OF OUR NEEDS
Related Business/es
MY GRANDFATHER HAS A KNOWN
LECHON BUSINESS IN PANGASINAN. IM
Do you currently have an interest in any restaurant / food INTERESTED IN GETTING THE SAME
business, or any other business ventures? LINE AS WELL, EASIER TO BUILD A
If yes, please describe such business. LECHON PLACE OF MY OWN WITH
HELP AND EXPERTISE FROM MY
GRANDFATHER.
Franchise Marketing & Operations
What are your location preferences? NEAR RIZAL MEDICAL CENTER
Who are the immediate markets you can think of for your PATIENTS, RESIDENT DOCTORS, STAFF,
 NURSES, HEALTH CARE PROVIDERS,
franchised outlet? RESIDENTS OF BARANGAY PINEDA
AND BYSTANDERS
When can you start operating your own franchise? AS SOON AS POSSIBLE

CREDIT CHECK & FINANCIAL INFORMATION

Are you willing to be subjected to background and credit
check by the Franchisor?
References
Bank/Credit Reference Contact Person Contact Number
LANDBANK OF THE
1
PHILIPPINES
2
3
Declaration of Assets, Liabilities, and Sources of Income
Assets Value Remarks
(Note which are collateralized, pledged,
(Real Estate, Stocks/Bonds, Insurances, etc.) (in Peso)
mortgaged, or have adverse claims)
1
2
3
Loans/Liabilities Amount
(in Peso)
1 N/A N/A
2
4 3 CINCO CORPORATION
Sources of Income Yearly Amount
636,00.00 (BONUSES AND
1 RIZAL MEDICAL CENTER PHILHEALTH NOT
INCLUDED)
2
3

EDUCATIONAL BACKGROUND
State your educational experience, including name and location of schools, years completed, and degrees earned.
 OTHER PERSONAL INFORMATION
Family Information
Spouse’s
Spouse’s Name N/A N/A
Occupation
Spouse’s Number of
N/A N/A
Date of Birth Dependents
Security & Background Information
Have you ever been convicted of any crime involving
NO
moral turpitude?
► If YES, please state nature and status.
Is there any pending suit, whether civil or criminal, of
NO
which you are a party?
► If YES, please state nature and status.
Character References
Contact Person Contact Number Email Address
(non-family)
1 FRANCIS MICHAEL DEL PRADO
2 MALTA MARIE MUNOZ
3 JANE MARIZ S. TAGLE

ACKNOWLEDGEMENT
5 PLEASE READ AND SIGN: CINCO CORPORATION
I hereby represent that all of the above answers are true and correct to the best of my knowledge and belief. I recognize
Cinco Corporation, the Franchisor for Potato Corner, is not in any way obligated to offer a franchise to me because of our
execution of this document. I understand that any false statement on this application shall be considered sufficient cause to
deny further consideration. I understand that any inquiry regarding my character, personal characteristics and financial
background maybe conducted as a result of information required by Cinco Corporation.
Printed Full Name

Signature