Franchise Application Form

Full Name

Email Address

Home Address

Mobile Phone No:

Date of Birth

What Franchise are you interested in?

Hybrid Mobile

What interests you about becoming a Battery Zone Franchisee? What specifically attracts you to this business?

What is the main reasons behind wanting to own your own business?

If you were to join Battery Zone Franchise team, when would you realistically be ready to start?

Do you have any auto-electrical/ mechanical experiences and or any retail sales experience? Please provide details

Current Industry

Job Title

Main Duties

Have you ever been involved in a business which has failed/ceased trading

Yes No

Have you ever been declared bankrupt.

Yes No

Have you had any convictions or legal proceedings against you?

Yes No

To successfully operate a Battery Zone Franchise you would need access to funds. Do you have access to these funds?

Yes No

Cash Available $

Full Finance Required $

Partial Finance Required %

I/We

Declares as follows:

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 any way Battery Zone Franchise shall have the right to terminate any franchise agreement entered into on the basis of the information contained in this application.

3 I/We also acknowledge and agree that Battery Zone Franchise

a. Is collecting the information contained in this application to assess whether I/we should be considered as a potential franchisee?

b. Is relying upon the information contained in this application as a material factor in considering this application?

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

d. May provide the information contained in this application to its advisers, including its accountants, lawyers and consultants

e. May retain copies of this application for its records.

Applicant Digital Signature

Date

PRIVACY DISCLOSURE STATEMENT

Battery Zone Franchise is committed to protecting your privacy. We collect your personal information (example name, address phone number, financial details, credit worthiness, business information and lease premise details) for you when you fill out one of Battery Zone Franchise Application forms and from telephone or via email correspondence with you.

We collect your personal information for the purpose of processing applications and assessing potential franchisees. If you do not provide us with your personal information we may not be able to process your application or deal with your request. We share your personal information only with the organization that assists us in the provision of your services which you consent to (example landlords). In order to assist us to contact you, we store your personal information onto our database.

By electronically signing Battery Zone Franchise application form to which this statement is attached, you acknowledge that you have read this statement; consented to the collection, use and disclosure of your personal information in the manner and for the purpose set out in this statement.

I have read the privacy policy below

Battery Zone | Franchise Application Form

PRIVACY DISCLOSURE STATEMENT