VBFAST FRANCHISE/PARTNERSHIP APPLICATION FORM

APPLICANT INFORMATION

Phone Number*

Area CodePhone Number

Email Address*

Address*

Street Address

CityState / Province

Postal / Zip Code

PLEASE SELECT THAT APPLY

Other Nationality

DATE OF BIRTH

RECENT EMPLOYMENT HISTORY

COMPANY 1

POSITION

DATE OF EMPLOYMENT

FROM (MONTH/YEAR) TO(MONTH/YEAR)

COMPANY 2

POSITION

DATE OF EMPLOYMENT

FROM (MONTH/YEAR) TO(MONTH/YEAR)

COMPANY 3

POSITION

DATE OF EMPLOYMENT

FROM (MONTH/YEAR) TO(MONTH/YEAR)

RECENT BUSINESS OWNERSHIP EXPERIENCE

(if applicable)

TRADING NAME 1

NATURE OF BUSINESS

YEARS OF TRADE

IS THE BUSINESS STILL OPERATING?

YESNO

TRADING NAME 2

NATURE OF BUSINESS

YEARS OF TRADE

IS THE BUSINESS STILL OPERATING?

YESNO

REFERENCE 1:

CONTACT NAME

COMPANY NAME

Phone Number:

Area CodePhone Number

Email Address:

example@example.com

REFERENCE 2:

CONTACT NAME

COMPANY NAME

Phone Number

Area CodePhone Number

Email Address:

example@example.com

OTHER BACKGROUND INFORMATION Have you or any applicable partners, officers, directors, or shareholders with your business affiliations ever:

Had any administrative, criminal or civil action alleging a violation of any franchise law, fraud, embezzlement, fraudulent conversation, restraint of trade, unfair or deceptive practices, and misappropriation of property or comparable allegations? Please note that VBFAST Corporation reserves the right to request a copy of your criminal record from the relevant State Police Authority.*

YESNO

Been convicted of a felony or pleaded “no contest” to a felony charge or been held liable in a civil action by a final judgement or been the subject of a material complaint or other legal proceeding such as a felony, civil action complaint, misappropriation of property or comparable allegations?*

YESNO

Been adjudged bankrupt or reorganized due to insolvency?*

YESNO

If you answered “Yes” to any of the questions above, please explain:

GENERAL INQUIRY

ARE YOU PREPARE TO COMPLY WITH THE PROCEDURES AND CONTROLS SET BY VBFAST CORP.?*

YESNO

Why do you think you will be successful?*

Are your intentions to work full time in the business?*

YESNO

Are you aware certain information provided and/or advised to you is confidential and shall not be divulged to any third person unless VBFAST corporation gives approval?*

YESNO

Declaration for Mail, Emailed and Faxed Applications

I/WE*

Your name

1. I/We have answered the questions and provided the information in this form to the best of my/our knowledge and belief, and that as far as I am/we are aware the answers and information are true and correct in all respects and that no relevant details have been omitted.

2. I/We acknowledge that if any information included in this Application is false or misleading in anyway TRANZ BUSINESS CENTER shall have the right to terminate any franchise agreement entered into on the basis of the information contained in this Application I/We also acknowledge and agree that TRANZ BUSINESS CENTER:

3. Is collecting the information contained in this Application to assess whether I/we should beconsidered as a potential franchisee;

4. Is relying upon the information contained in this Application as a material factors in considering this Application

5. Is authorised to contact any appropriate third parties to verify the accuracy of the information in the application, and to retain any information obtained for its records;

6. May provide the information contained in this Application to its advisors, including its accountants, lawyers and consultants; and

7. May retain copies of this Application for its records, whether or not this Application is successful

Dated:*

Date

Upload resume, certification, credentials and etc. which will help us...

Driver License or any ID

For Electronic Applications:By submitting this application electronically, I agree to the above statements.

APPLICANT Signature *

Name*

First NameLast Name

FRANCHISE/PARTNERSHIP APPLICATION

ATTENTION : FRANCHISING/PARTNERSHIP DEPARTMENT

References: