Apply today

Name:

Telephone:

Present Address:

Date Of Birth:

Nationality:

Marital Status:

Number of Dependants:

Are you self employed:
Please Choose One Yes No

How many years have you been self employed for:

What Occupation/Industry are you self employed in?

If you are not self employed,
who is your current employer?

Contact telephone number (current employer):

Please state the number of years you have been employed:

What is your occupation:

Details of any business experience you have:

Present income:

Other income:

Please explain your other income:

Are you currently qualified at Certificate IV
level in Fitness? If not, please give reason:

School or institution attended:

Grade or degree attained:

School or institution attended:

Grade or degree attained:

School or institution attended:

Grade or degree attained:

Name of referee:

Occupation:

Address:

Telephone:

Name of referee:

Occupation:

Address:

Telephone:

What is your estimated minimum required income
for your current living expenses per week?

Would the business be your sole source of income?
Please Choose One Yes No

Do you rent or own your own home?
Please Choose One Yes No

If owned, it's approximate current value:

Mortgage amount outstanding:

Total Assets:

Total Liabilities:

Net Worth:

Amount of cash available to invest in your business:

Do you have a source of finance?
Please Choose One Yes No

If so, how much finance will be provided?

What do you know about this franchise?

Why do you wish to get involved in this franchise?

Where would you like to set up your franchise?

When would you wish to commence your franchise?

Do you intend to work full-time in the business?
Please Choose One Yes No

If no to the above, who will be responsible for
the daily operation of the business?

If other individuals will be involved in financing
the business, please provide details:

Have you been insolvent during the last 10 years?
Please Choose One Yes No

If so, please provide details:

Have you been the subject of any court proceedings,
past or present?
Please Choose One Yes No

If so, please provide details:

I declare that the information contained in this
application is correct: