CARtime Application Form July 2023 - Part 1 - Fillable

Unit 6, 2 Bishop Road, Pinetown
Postnet Suite 512, Private Bag X4,

Kloof, 3640
TEl: (031) 701 6660
National: 0861 CARTIME
E-mail: info@cartime.co.za
FRANCHISEE APPLICATION FORM
PREAMBLE
Subject to availability of territories, CARtime (to be named CARtime hence forth in this document), is in a position
to offer a Franchise to suitable qualified candidates. Completion of this Confidential Questionnaire does not obligate
either CARtime or the applicant in any way. (Refer also to clause “Declaration by Applicant” on page 5). Should
you be a member of a company or partnership, each member of the entity must complete this form in full, each
with a copy of their ID and proof of residence.
PERSONAL INFORMATION
Surname: ____________________________________________________________________
First Name(s): ____________________________________________________________________
Are you a South African citizen? Yes No:
ID/passport number: _______________________________________Age: ________________
Citizenship (if not RSA): Gender: _____________
CONTACT DETAILS:
Cell phone: ___________________________Work Tel:_________________________________
E-mail Address: __________________________________________________________________
Residential Address:
_____________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Code:______________
Postal Address – If Different
_____________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Code:______________
HEAD OFFICE: UNIT 6, 2 BISHOP ROAD, PINETOWN | 031 701 6660

Kloof, 3640
TEl: (031) 701 6660
MARITAL STATUS:
Single: Married: Divorced
Widowed: Separated:
Number of dependents: ____________
How are you married?
Out of community of property:
In Community of property with an Ante-Nuptial Contract
In Community of property without an Ante-Nuptial Contract
Spouse’s details:
Surname: _____________________________________________________________
First Name(s): __________________________________________________________
Is your spouse a RSA citizen? YES NO
ID/passport number: _____________________________Age: ________
Citizenship (if not RSA): Gender: _________
CONTACT DETAILS:
Cell phone: ________________________________Work Tel:________________________
E-mail Address: ______________________________________________________________
RESIDENTIAL STATUS:
Number of years at this address: ______
Number of years at your previous address: _____
Are you renting: __________
Do you own property: ____________
Details of properties owned: ______________________________________________________
Do you own properties in a trust?
If Yes, please provide details:_____________________________________________________________

Kloof, 3640
TEl: (031) 701 6660
HISTORICAL INFORMATION
Qualifications
Name of Years
Level of Education Date Graduated Main SubjectsStudied
institution Attended
Tertiary Education
Other accredited
courses
Other accredited
courses
Employment History
Former Employers (list last two employers, with most recent first)
Date Name and address of Gross monthly Last position Reason for leaving
employer salary held
(Month and year) (if still employed – please state)
From:_______
To: ________
From:_______
To: ________
From:_______
To: ________
May we contact your current/previous employer for a reference? Yes No:

Kloof, 3640
TEl: (031) 701 6660
References
Kindly supply the names and contact numbers of 3 persons, who you have known for at least 1 year
(must be unrelated to you or each other)
Name Contact number:
Are you related to anyone who currently in our employ? Yes No
If yes, please provide their name: ____________________________________________
Yes No
Have you owned a business or franchise before?
Have you managed a business or franchise before?
Have you managed a staff compliment of more than 5 people before?
Do you have a passion for motor vehicle and customer service?
Do you understand what is expected as a business owner?
Are you willing to forgo formal employment?
Have you worked in the automotive aftermarket sector?
Do you own an existing aftermarket service centre?
TERRITORY
Where would your primary choice be, for a CARtime Franchise: ___________________________
Where would second choice be: ____________________________________________________
Where would your 3rd choice be: ___________________________________________________

Kloof, 3640
TEl: (031) 701 6660
PRE-LIMINARY INVESTMENT INFORMATION
A CARtime franchise requires a minimum investment of R1,350,000.
Do you have the full amount available? YES / NO
If not, how do you intend raining the balance:
Own funds available R
Investor and /or partner* R
Financial institution R
Grant application R
Total R
Kindly state what you would expect for your first years monthly drawings to
R
be:
*INVESTOR/PARTNER:
(If you have an investor/partner, they are required to complete these documents too)
Will your investor/partner play an active role in the business? Yes No
If yes, are they willing to sign surety to the franchisor, landlord Yes No
and other suppliers?
Does your investor/partner have any association to an Yes No
employee of CARtime?
Does your investor/partner own or have an interest in any Yes No
automotive aftermarket service center?
Will your spouse play an active role in the business? Yes No

Kloof, 3640
TEl: (031) 701 6660
DECLARATION
Declaration by Applicant
I have completed the above questionnaire to the best of my knowledge and ability with the intention
of being considered as a Franchisee of CARtime. I understand that I am not binding myself in any
way whatsoever, however, should I be accepted as a Franchisee based on the information provided
by me, and should it become known to CARtime at a later date that the information provided above
is misleading, or false, or that I have purposely withheld certain facts, this then may result in the
termination of any agreement entered into between CARtime and myself
Therefore,
I, ____________________________________________________ ID number: ________________________
in my personal capacity or as _________________________________ certify that the above information is both

true and correct and acknowledge that if any information is found to be incorrect, the Franchisor reserves the right
to terminate the Agreement of Franchise.
I / we agree that CARtime Kwa-Zulu Natal CC, a subsidiary of CARtime Franchising (Pty) Ltd may use the
services and records of a registered credit bureau and other suppliers for information required in the original and
future assessment of credit facilities.
Date: ______________ Place: ____________________________________________
APPLICANT:
Name: _______________________________Signature: __________________________
Witness:
Name: ________________________________ Signature: __________________________
INVESTOR/PARTNER
Name: _______________________________Signature: __________________________
Witness:
Name: ________________________________ Signature: __________________________
Please supply copies of ID, recent Utilities Bill, where applicable acopy of your prenuptial agreement.

Kloof, 3640
TEl: (031) 701 6660
Consumer Consent in terms of Regulation 18(5) of the National Credit Regulations
(*to be completed by applicant, if your spouse will play an active role, other directors and/or 3rd party
investors.
I,________________________________________________________________(full names and surname),
ID number _______________________________
hereby grant my informed consent to CARtime Kwa-Zulu Natal CC, in order to enable them to perform a
confidential credit check on me for the purpose of compliance with the provisions of Section 81(2) of the
National Credit Act, No 34 of 2005 as amended, that relates to the prevention of the extension of reckless
credit.
It is further understood that the credit report obtained under this consent will be used by CARtime Kwa-Zulu Natal
CC solely for the purpose set out in Regulation 19(4) (c) or (e) to (g).
_____________________________________ ______________________
(Signature) (Date)
_____________________________________
(Place)
______________________________________ _______________________
(Company representative) (Date)

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Unit 6, 2 Bishop Road, Pinetown

Postnet Suite 512, Private Bag X4,

First Name(s): ____________________________________________________________________

Are you a South African citizen? Yes No:

ID/passport number: _______________________________________Age: ________________

Citizenship (if not RSA): Gender: _____________

Cell phone: ___________________________Work Tel:_________________________________

E-mail Address: __________________________________________________________________

Postal Address – If Different

HEAD OFFICE: UNIT 6, 2 BISHOP ROAD, PINETOWN | 031 701 6660

Single: Married: Divorced

Number of dependents: ____________

How are you married?

Out of community of property:

In Community of property with an Ante-Nuptial Contract

In Community of property without an Ante-Nuptial Contract

First Name(s): __________________________________________________________

Is your spouse a RSA citizen? YES NO

ID/passport number: _____________________________Age: ________

Citizenship (if not RSA): Gender: _________

Cell phone: ________________________________Work Tel:________________________

E-mail Address: ______________________________________________________________

Number of years at this address: ______

Number of years at your previous address: _____

Are you renting: __________

Do you own property: ____________

Details of properties owned: ______________________________________________________

Do you own properties in a trust?

If Yes, please provide details:_____________________________________________________________

HEAD OFFICE: UNIT 6, 2 BISHOP ROAD, PINETOWN | 031 701 6660

May we contact your current/previous employer for a reference? Yes No:

HEAD OFFICE: UNIT 6, 2 BISHOP ROAD, PINETOWN | 031 701 6660

Name Contact number:

Name Contact number:

Name Contact number:

Are you related to anyone who currently in our employ? Yes No

If yes, please provide their name: ____________________________________________

Have you owned a business or franchise before?

Have you managed a business or franchise before?

Have you managed a staff compliment of more than 5 people before?

Do you have a passion for motor vehicle and customer service?

Do you understand what is expected as a business owner?

Are you willing to forgo formal employment?

Have you worked in the automotive aftermarket sector?

Do you own an existing aftermarket service centre?

Where would second choice be: ____________________________________________________

Where would your 3rd choice be: ___________________________________________________

HEAD OFFICE: UNIT 6, 2 BISHOP ROAD, PINETOWN | 031 701 6660

A CARtime franchise requires a minimum investment of R1,350,000.

Do you have the full amount available? YES / NO

If not, how do you intend raining the balance:

Own funds available R

Investor and /or partner* R

Will your investor/partner play an active role in the business? Yes No

HEAD OFFICE: UNIT 6, 2 BISHOP ROAD, PINETOWN | 031 701 6660

I, ____________________________________________________ ID number: ________________________

in my personal capacity or as _________________________________ certify that the above information is both

Date: ______________ Place: ____________________________________________

Name: _______________________________Signature: __________________________

Name: ________________________________ Signature: __________________________

Name: _______________________________Signature: __________________________

Name: ________________________________ Signature: __________________________

ID/passport number: _______________________Age:

Cell phone: _Work Tel:_______

ID/passport number: _____________________Age:

Cell phone: ________Work Tel:

I, ____________________________ ID number:

Date: Place: ______________________________

Name: _____Signature:

Name: ______ Signature:

Name: _____Signature:

Name: ______ Signature: