Personal Information
Last Name, First Name, Middle Name:
Birth date: Age: Birth Place:
 
Current Residential Address: Years of Stay:
Home Phone No.:  
 
 
Previous Residential Address (in full): Years of Stay:
E-mail Address:
 
Citizenship: Tax Identification Number: SSS. No.
Res. Cert. No.: Place of Issue: Date:
Marital Status:
If single;
Name of Father: Age: Occupation/Business:
Name of Mother: Age: Occupation/Business:
Full Name of Spouse: Age: Occupation/Business:
Name of Children: Age: Occupation:
Describe any physical limitations or concern:
Have you ever been charged of anything other than minor traffic violations? YES NO
Are you or your company involved in any pending litigation? YES NO
Have you ever declared personal bankruptcy?  YES NO
If YES, to any of the above, please give details and inclusive dates.
Is this the first time you're applying for a Max's franchise? YES NO
If NO, please give details of previous application/s and the applied area/s.
Do you have any pending application for other fast food/restaurant franchises? YES NO
If YES, please indicate nature, background, location and status of application.
Are you related by blood or marriage to any Max's employee or franchisee? YES NO
If YES, please give details
 
Applied Areas
Would you consider other areas? YES NO
What area/s?
Amount of capital available for this business.
 
Education
 
  Name of School Address
Post Graduate:
  Inclusive Dates Degree Completed
 
  Name of School Address
College:
  Inclusive Dates Degree Completed
 
  Name of School Address
High School:
  Inclusive Dates Degree Completed
 
Previous seminars/trainings attended/completed related to sales, management, retailing, personnel management, business management, or customer relations.
Title of Training/Seminar Conducted By Inclusive Dates
Title of Training/Seminar Conducted By Inclusive Dates
Title of Training/Seminar Conducted By Inclusive Dates
Please list other academic degree/courses taken/completed.
 
Business Work Experience (Please list from the most recent)
Name of Employer Address Position/Title Inclusive Dates
Supervisor's Name & Title Beginning Salary Ending Salary Reason for Leaving
Name of Employer Address Position/Title Inclusive Dates
Supervisor's Name & Title Beginning Salary Ending Salary Reason for Leaving
Name of Employer Address Position/Title Inclusive Dates
Supervisor's Name & Title Beginning Salary Ending Salary Reason for Leaving
Current Business Address Telephone
FAX E-mail  
 
 
Nature of Business
Manufacturing Marketing/PR/Advertising  Food/Restaurant 
Banking/Finance  Real Estate  Retail/Wholesale
Type of Business
Ownership  Single Proprietorship  Partnership  Corporation 
Years in operation No. of Branches Annual Sales Annual Salary Total no .of Employee:
Length of Service: < 1 year  > 5 years  < 10 years 
No. of employees directly supervised by you.  
Position and responsibilities of employees directly supervised by you.
When and how did your business start?
What are routine/regular problems you attend to personally in your business?
Identify major milestones /developments in your business within the past five years. (i.e. expansion, renovation etc...)
How much time do you spend in your business?
daily basis (in terms of number of hours)   weekly basis  ( in terms of number of days)
Does your business have any pending legal cases in court? YES NO
If YES, please provide details and status of case.
Have you ever had an unsuccessful or losing business? YES NO
If YES, please provide details.
Have you had employee/people-related problems? YES NO
If YES, please provide details.
 
Socio-Civic Affiliations (Ex. Membership in Rotary, Lions Club, Mason, etc.)
Previous seminars/trainings attended/completed related to sales, management, retailing, personnel management, business management and customer relations.
Name of Organization Address Position Inclusive Dates
What were your personal contribution/s to the organization for the past two (2) years?
Please describe personal/business gains from joining the organizations.
 
References
Name Address How long have you known the person? Tel. Number
Please list three (3) Bank/Credit References (Pls. indicate contact person/s where accounts are held)
Name Address How long have you known the person? Tel. Number
Please list two(2) Client/Supplier References (Pls. indicate contact person/s where accounts are held)
Name Address How long have you known the person? Tel. Number
Employee (Pls. indicate length of service and position of employee. Indicate whether employee is directly reporting to you.)
Name Address How long have you known the person? Tel. Number
 
Business Plans
If you were granted a franchise, will the franchise be owned and operated by yourself or a group? Pls. explain fully.
As owner-operator are you willing to undergo a four month full-time training? YES NO
Who will have equity in the franchise restaurant? To what extent?
Name
Relationship
% Share
Responsibility
Will members of your family be directly involved with the operation of the business? YES NO
If YES, list who and in what capacity?
Do you have any existing contractual/business affiliations that may limit your involvement in the Max's Restaurant? YES NO
Please give details.
 
Financial Background
In order for us to evaluate your personal/corporate ability to fund a Max's franchise restaurant, please specify sources of fund.
Bank Information (A list of all bank accounts, including savings and loans)
Name of Bank Address Cash Balance Amount of Loan
Life Insurance
Name of Person Insured Name of Beneficiary Name of Insurance Co. Type of Policy Face Amount Total Loans against Policy
Real Estate
Location Description
(residential,
commercial, etc..)		 Size Mortgages or Liens Assessed Value Present Market Value
Stocks/Bonds
Face Value (Bonds) Description Registered in Name of Cost Present Market Value Income Last Year
Salaries and Wages
Automobiles registered in own name
(Indicate brand, year, color, plate no.)
Other Assets
(Itemized)
Applicant's Total Annual Income
(Indicate Year)
How much and how soon do you expect the return on your investment?
   
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In submitting the foregoing application and statement the undersigned guarantees its accuracy with the intent that it be relied upon in assessing the application for a Max's franchise and warrants that he/she has not knowingly withheld any information that might affect his/her application, and the undersigned expressly agrees to notify Franchisor immediately in writing of any material change in his/her financial condition. The undersigned hereby authorizes Max's Inc. to verify and investigate the undersigned from whatever sources deemed appropriate and the undersigned release all parties from all liability for any damage that may result from furnishing any information to Max's Inc.

The undersigned fully understands that falsifying any of the information contained herein is sufficient ground for rejection of the application or termination of any contract that may hereafter be executed between Max's Inc. and the undersigned franchise applicant. The undersigned certifies that each part of the application and financial statements hereof and the information inserted herein has been carefully read and is true, correct and complete.