Please make a selection.Before filling in this application, please verify that you have read through and understand the 3@1 Information Pack. The form below is also available at the end of the Information Pack mentioned above and can be printed and faxed to head office at fax no. 086 663 8605. All information you provide to us will be completely
confidential.
To accommodate our planning and your convenience, please indicate your preference of venue for the interview
Johannesburg
Cape Town
Durban
Other - if other, please specify
Please note: although we will endeavour to arrange the interview as soon as we receive your information, interviews outside of Johannesburg, Cape Town and Durban will take a bit longer to arrange.
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| Name
ID number
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| Address
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Business
Cell
Email
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| Age
Occupation
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| Employer
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| How long employed at present occupation
Previous employer
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| Spouse's name
Spouse's employment
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| Children
Ages
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| Previous address
How long?
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| Do you own a home?
Bond amount
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| Name of bank
Current
Savings
Both
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| Have you ever had a judgement against you?
If so, for how much?
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| Have you ever been refused finance?
If so, how long ago?
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| Have you ever been convicted of a crime?
If so, what?
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| Do you currently or have you ever owned your own business?
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| If so, please describe |
| Have you ever failed in business?
If so, why?
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| Please confirm
that the business will be owner operated
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| If not, who do you have in mind to operate the business?
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| In which district / town are you considering to establish a business?
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| If accepted, how soon would you be able to operate a centre?
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Financial Information |
| Property owned
Mortgage bond
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| Public company shares
Hire purchase
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| Savings accounts
Auto loan
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| Insurance policies
Other loans
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| Other
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| Cash
Total liabilities
Total assets
Net worth
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| If you were to proceed with this investment, would you have to finance any portion?
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| How much?
How?
Home equity
Bank
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| Other
Explain
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Personal Data |
| List educational background (not: you may send a resume for this employment to info@3at1.co.za) |
| School
attended
to
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| College
attended
to
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| Other
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| Employer
employed
to
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| Employer
employed
to
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| Employer
employed
to
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| Give complete names, addresses and telephone numbers of three credit references |
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| Give complete names, addresses and telephone numbers of three character references |
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| This application is not to be construed as a binding agreement for either party, but does give 3@1 Franchising (Pty) LTD the right to check the information provided within. |
| Please feel free to send any further information you may consider relevant to this application to info@3at1.co.za |
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Please make a selection.
By clicking here, acknowledge that all the information provided in this form is correct to the best of your knowledge. |
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