Fr anchi s ee appl i cat i on for m

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1 Other Fr anchi s ee appl i cat i on for m Kindly fill in all the applicable information in the spaces provided and submit to us before the stipulated deadline. The information you provide will be held in the strictest confidence and completion of this form in no way constitutes a commitment to Sidai Africa or that a franchisee applicant will be automatically awarded. We encourage you to share any and all relevant information and include anything that you find will make your candidacy stand out as a potential franchisee. Thank you again for your interest in Sidai Africa. W here do you wi s h t o Oper at e: Sect i on 1. Det ai l s of appl i cant Surnam e : Ot her nam es : Gender : Mal e Fem al e DOB: Marital - St at us : ID/ P as s por t no: Cont act A ddr es s P os t al addr es s : Code: Town/ Ci t y Tel ephone: Mobi l e: Fax: E m ai l : P hys i cal addr es s L ocat i on: Es t at e/ hous e - no: Durat i on of s t ay at cur r ent l ocat i on: Sect i on 2: Bus i nes s Infor m at i on Nam e of Bus i nes s : A ddres s : Bus i nes s l ocat i on: Market Office Town Home

2 Sect i on 2: Bus i nes s Infor m at i on Nam e of Bus i nes s : A ddr es s : Bus i nes s l ocat i on: Market Office Town Home Other L egal ent i t y: Sole Proprietor Partnership Limited Company Other L engt h of owner s hi p: Start-up (<1 yr) 1-5 yrs 5-10yrs > 10 yrs P er cent owner s hi p ( For partner s hi ps and L i m i t ed Com pani es ): Sect i on 3: To be fi l l ed onl y by St artups ( <1year oper at i on) Exis t i ng bus i nes s es pr oceed t o s ect i on P r ofes s i onal Educat i on, qual i fi cat i ons and t r ai ni ng : Ins t i t ut i on Qual i fi cat i ons achi ev ed Gr ade 3.2 Em pl oym ent hi s t or y ( i f any) Or gani zat i on pos i t i on Rel ev ant exper i ence 3.3 A r e you a m em ber of any pr ofes s i onal body: If yes, P l eas e i ndi cat e bel ow. 3.4 W i l l you oper at e wi t h a partner? Y/ N If yes pl eas e gi v e det ai l s and t hei r nat ur e of i nv ol v em ent i n your oper at i ons.

3 3.3 A r e you a m em ber of any pr ofes s i onal body: If yes, P l eas e i ndi cat e bel ow. 3.4 W i l l you oper at e wi t h a partner? Y/ N If yes pl eas e gi v e det ai l s and t hei r nat ur e of i nv ol v em ent i n your oper at i ons. 3.5 Hav e you m ade any at t em pt at s t arting your own bus i nes s? If yes gi v e a br i ef des cr i pt i on of your exper i ence. 3.6 In about 400 words please describe what you feel are the current problems in your region and what solutions would you and your potential business be able to offer in relation to our previous experience. What challenges do you anticipate and how do you propose to overcome in partnership with Sidai 3.7 Hav e you dev el oped a bus i nes s pl an for your oper at i ons? If yes pl eas e at t ach( em ai l t oget her wi t h fi l l ed for m ) Do you hav e acces s t o capi t al? How do you i nt end t o fi nance your i nv es t m ent? A r e you wi l l i ng t o wor k i n a Si dai out l et t o gat her t he neces s ary bus i nes s exper i ence r equi r ed t o r un your own out l et? lect List 3 farmers and their contacts who can attest to your experience and commitment to offer l i v es t ock s er v i ces and what areas you hel ped t hem i n m anagi ng t hei r oper at i ons.

4 A r e you wi l l i ng t o wor k i n a Si dai out l et t o gat her t he neces s ary bus i nes s exper i ence r equi r ed t o r un your own out l et? lect List 3 farmers and their contacts who can attest to your experience and commitment to offer l i v es t ock s er v i ces and what areas you hel ped t hem i n m anagi ng t hei r oper at i ons. 3.9 P r ov i de any ot her i nfor m at i on t hat you t hi nk wi l l be r el ev ant i n hel pi ng your appl i cat i on be s ucces s ful. Sect i on 4: To be fi l l ed by Exis t i ng bus i nes s es 4.1 P er i od of t r adi ng at t he cur r ent addr es s 1-5 yr s 5-10 yr s > 10 yr s 4.2 W hat has been your pr ev i ous t r adi ng per for m ance ( gr os s t ur nov er i n Ks h/ year) 2011 t o dat e P l eas e l i s t your cur r ent m ajor s uppl i er s, m ont hl y v ol um e of bus i nes s and t er m s of t r ade. Suppl i er A v er age m ont hl y t ur nov er Ter m s of t r ade 4.4 How m any s t aff do you cur r ent l y hav e and what are t hei r qual i fi cat i ons? St aff Nam e Qual i fi cat i on/ Res pons i bi l i t y Dur at i on of em pl oym ent 4.5. How do you k eep your s t aff wel l m ot i v at ed and updat ed on t hei r s k i l l s r equi r em ent? 4.6 In 400 wor ds, des cr i be i n br i ef t he cur r ent nat ur e of your bus i nes s oper at i ons wi t h focus on bus i nes s pl anni ng, cus t om er s, com pet i t i on, s t ock m anagem ent, fi nanci al pl anni ng s t r at egi es and fut ur e gr owt h pl ans.

5 4.5. How do you k eep your s t aff wel l m ot i v at ed and updat ed on t hei r s k i l l s r equi r em ent? 4.6 In 400 wor ds, des cr i be i n br i ef t he cur r ent nat ur e of your bus i nes s oper at i ons wi t h focus on bus i nes s pl anni ng, cus t om er s, com pet i t i on, s t ock m anagem ent, fi nanci al pl anni ng s t r at egi es and fut ur e gr owt h pl ans How m any cus t om er s and t ypes woul d you es t i m at e you are cur r ent l y s er v i ci ng? ( dai r y, P oul t r y, pas t or al i s t s et c) W hat i s your m ot i v at i on for changi ng your out l et fr om an i ndependent bus i nes s i nt o a fr anchi s e? In what areas do you t hi nk your com pany wi l l benefi t fr om i t s partner s hi p wi t h Si dai and v i ce v er s a? Has your com pany ev er been i nv ol v ed i n any for m of l i t i gat i on? Y?N If yes pl eas e gi v e det ai l s. Sect i on 5. To be fi l l ed by al l appl i cant s Fi nanci al i nfor m at i on. A l l fi nanci al i nfor m at i on gi v en wi l l be t r eat ed wi t h s t r i ct confi dent i al i t y. A s s et s Ks h L i abi l i t i es Ks h Cas h L oans Inv es t m ent s A ccount s payabl e Bus i nes s v al ue Ot her s A s s et s L i abi l i t i es

6 Fi nanci al i nfor m at i on. A l l fi nanci al i nfor m at i on gi v en wi l l be t r eat ed wi t h s t r i ct confi dent i al i t y. A s s et s Ks h L i abi l i t i es Ks h Cas h L oans Inv es t m ent s A ccount s payabl e Bus i nes s v al ue Ot her s A s s et s L i abi l i t i es Net W or t h Val ue A s s et s L i abi l i t i es The submission of this application does not obligate me or Sidai Africa in any way or manner. Name: Sign date

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