Prspective Client Cde SPARKLING AUTO CARE CENTRES FRANCHISE APPLICATION FORM Please cmplete all infrmatin in this dcument and return t inf@sparklingaut.c.za Please indicate the ptin yu are interested in: Optin Franchise type Descriptin Optin 1 Optin 2 Sparkling Mbile Unit Sparkling Fixed Unit Mbile Unit with Csmetic Repair Fixed unit with Csmetic Repair, Car Wash & Valet Interested in 1. Full name f applicant/s: 2. 3 4. 5. Date Cntact E-mail Cntact nr: Prvince Indicate yur chice Prvince Indicate yur chice Gauteng Mpumalanga Nrth West Limpp Free State Eastern Cape Nrthern Cape Western Cape Kwazulu Natal Other: Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 1
1. OWNERSHIP Sle Prprietrship Partnership Limited Crpratin Clse Crpratin 2. BIOGRAPHICAL INFORMATION OF APPLICANT/S Surname First Name/s ID nr Marital status Number f dependants Natinality Residential address Hw lng at abve address Pstal address Current ccupatin Business address Telephne nr (W): Telephne nr (H): Cell phne nr: Fax nr Where the franchisee is ther than a sle prprietr, please indicate the details fr all partners, members, sharehlders belw: Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 2
2. Surname First Name/s ID nr Marital status Number f dependants Natinality Residential address Hw lng at abve address Pstal address Current ccupatin Business address Telephne nr (W): Telephne nr (H): Cell phne nr: Fax nr 3. Surname First Name/s ID nr Marital status Number f dependants Natinality Residential address Hw lng at abve address Pstal address Current ccupatin Business address Telephne nr (W): Telephne nr (H): Cell phne nr: Fax nr Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 3
3. FINANCIAL INFORMATION Net wrth per persnal balance sheet R Current mnthly incme R Cash available fr investment R Have yu ever been inslvent? YES NO If Yes - are yu nw rehabilitated? YES NO LEASE / HIRE PURCHASE AGREEMENTS PAST AND CURRENT Institutin Asset Acquired Ttal Amunt Mnthly Payments Perid f Agreement Dates PRESENT BANKERS: Bank Branch Name Nature f Accunt Accunt Number Current Balance Financing Institutin AVAILABLE FINANCE FOR IMMEDIATE INVESTMENT: Nature f finance Secured by Repayable ver what perid Amunt f finance Mnthly Repayment Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 4
INDICATE WHO WILL BE THE FRANCHISEE S? NAME ADDRESS TEL NO Bkkeeper Accunting Officer Auditr 4. BUSINESS EXPERIENCE PREVIOUS BUSINESS INTEREST / EMPLOYMENT: Name f Business / Emplyment Perid f Invlvement BUSINESS DETAILS OF FRANCHISEE/S TRADE REFERENCES: Name Relatinship Cntact Address Cntact Tel n 5. FRANCHISE INFORMATION Hw did yu learn f ur franchising pprtunity? What experiences d yu have as a franchisee in the aut industry? Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 5
Will smene ther than the Franchisee manage the utlet? Name f such a manger: What experiences des the prpsed manager have in the aut industry? YES NO If yu were t be awarded a franchise, d yu undertake t pay the Franchise Fee and the mnthly ryalties as required by the Franchise Agreement as well as any required mneys fr the develpment f the site if this is applicable? YES NO PROVIDE 1 TO 4 AREAS WHERE YOU WOULD LIKE TO OPEN A FRANCHISE: (Pssible sites)* 1 2 3 4 * Site specificatins: Size: 1000-1500 square meters Preferably a stand alne unit t prevent traffic jams Zning Business 1 High vehicle vlume & high visibility site Preferably shpping centres; malls; mtr city s r retail centres Speed f surrunding traffic shuld be less than 60km/h Easy access frm adjining rads 6. REFERENCES PERSONAL REFERENCE: Name Relatinship Address Tel Number Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 6
7. ENTITY TO BE INVOICED (Please frward cpy f ID dcument, and if registered cmpany already cnfirmed, include cmpany & VAT registratin frm with yur applicatin): Surname First Name/s Business registered name Pstal address Physical address Telephne nr (W): Telephne nr (H): Cell phne nr: VAT Registratin nr* I, the under undersigned, hereby declare that the abve infrmatin is t the best f my knwledge and belief entirely crrect. Surname First Name/s Designatin Signature Date Witness 1 Witness 2 COMMENTS: Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 7
PLEASE GIVE A BRIEF MOTIVATION FOR THE FRANCHISE APPLICATION: PLEASE WRITE A BRIEF PERSONAL PROFILE INDICATING MANAGEMENT PHILOSOPHIES, BUSINESS AND PERSONAL GOALS: Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 8
FRANCHISE ROLL-OUT The fllwing explains the basic steps f the franchise rll-ut prcess - Franchisr receive applicatin frm prspective Franchisee; - The Franchisr will cmplete an assessment n the prspective Franchisee; - If the Franchise Applicatin frm is successful: The Franchisr will cnduct a first interview with the Franchisee Assessment & interview Cnfirmatin f successful applicatin Cnfirmatin f area Disclse t Franchisee and/r signing f Pre-Franchise Agreement Arrangement f 2 nd Interview date The Franchisr will cnduct a secnd interview with the Franchisee Cnfirmatin f franchise ptin Signing f Franchise Agreement The Franchisr will frward and finalise the fllwing t the prspective franchisee: Letter t the successful applicant Franchise Agreement Ten percent (10%) f the ttal franchise price upfrnt fee payable within seven (7) days after the signing f the Pre-Franchise Agreement Fifty percent (50%) f ttal franchise price payable with the signing f the Franchise Agreement Thirty percent (30%) f franchise price befre r n the starting date f the training Ten percent (10%) f the franchise price payable with site hand ver Site selectin prcess The Franchisr will undertake the fllwing within a time frame f ninety days (90) : Site identificatin Site pre-analysis Site principle apprval Site selectin & analysis Prduct selectin Site layut & Final site apprval The Franchisee t sign Franchise Agreement within 14 days f acceptance Selectin prcess f franchisee emplyees Schedule the 5 week training fr franchisee technical emplyees Schedule the training fr franchisee administrative & general emplyees Marketing prcess Sign writing and custmised layut f building and/r unit Selectin f mbile vehicle, sign writing and custmised layut f mbile where applicable Marketing and dem s in franchisee s prtected area Implementatin f administrative systems Business develpment Grand pening Onging supprt Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 9
I declare that I will pay the said Preliminary Analysis Fee shuld this applicatin frm be successful. I understand that if this applicatin fr a Franchise is accepted in full, I will be required t sign a cmprehensive Franchise Agreement regulating all aspects f my franchise relatinship with Sparkling Aut Care Centres. I als hereby declare that the infrmatin given in this applicatin is crrect. I declare that I am willing t submit my assets and liabilities statement n request. The Applicant hereby cnsents and agrees that the Franchisr may perfrm a credit search n the Applicant s recrd with registered credit bureaux when assessing the Applicant s applicatin frm. SIGNATURE DATE OFFICE USE ONLY APPLICATION ACCEPTED NOTES: DATE 1 ST INTERVIEW **************************************************************************************************************** APPLICATION DECLINED NOTES: Sparkling Aut Care Services (Pty) Ltd; Reg n. 2006/024689/07; Directr: C. Gustafsn 78 Retief street, Ptchefstrm, Nrthwest, Suth Africa; PO Bx 238, Ptchefstrm, 2520 Tel: +27 18 293 3970, Fax: +27 18 293 2285; email: inf@sparklingaut.c.za 10