FranFranchise Application

Last Name:
First Name:
Citizenship:
Driver License Number:
Province of Issue:
SIN:
Date of Issue :    
   
Are you a driving instructor? If yes please provide :  
Instructor License Number :
Province of Issue:
Date of Issue:
Are you a classroom instructor? If yes please provide :  
    Province of Issue :
Date of Issue:
Institute you graduated from : Month and Year of Graduation:
Contact No
Home : Business : Cell Phone:
Fax :
Email Address:
Best Way to Contact You?:
Current Address :
City :
Province:
Postal Code :
Yrs/Mos :
    
Previous Address:
City :
Province:
Postal Code :
Yrs/Mos :
    
 
 Employment History
Your Current Employer :
Position :
How Long :
Annual Income:
Phone :
City:
Employer Address:
Province :
Postal Code:
 
Your Previous Employer :
Position :
How Long:
Annual Income:
Phone :
City:
Employer Address:
Province :
Postal Code:
 
 Education
 
 PERSONAL REFERENCES (LIST 2)
Name:
Relationship :
Phone:
Years Known :
Address:
City :
Province:
Postal Code :
 
Name:
Relationship :
Phone:
Years Known :
Address:
City :
Province:
Postal Code :
 
 BUSINESS REFERENCES (LIST 2)
Name:
Relationship :
Phone:
Years Known :
Address:
City :
Province:
Postal Code :
 
Name:
Relationship :
Phone:
Years Known :
Address:
City :
Province:
Postal Code :
 
 GENERAL INFORMATION
Have you or any member of your family been affiliated with or employed by any UDC franchisee/owner? If Yes, please provide details :
Details:
Do you own a franchise, or have owned in the past? If Yes, please attach details ::
Attachment:  
Do you intend to manage your UDC franchise yourself?:
If No, who will manage the franchise?:
Has any action been commenced by or against you in the Bankruptcy Court during the past 15 years? If yes, provide/attach details :
Details:
Are you now or have you ever been a party to any civil, criminal or administrative action or any arbitration during the past 15 years? If yes, provide/attach details :
Attachment:  
Have you signed as a co-signor on a loan application for someone else? If yes, provide/attach details :
Details :
Location Preferences:
Would you be willing to relocate?:
   
Are you now or have you ever been a party to any civil, criminal or administrative action or any arbitration during the past 15 years? If yes, provide/attach details :
How soon would you like to start your new business?    
Will you have any partners? If yes, provide details :
How do you plan to finance your purchase of this Franchise? Please check one :
Major Funding in Cash
Financed through lender of my choosing
Source of Financing- please provide/attach details:  
 
 Bank References (List 2)
Name of Bank 1 :
Contact Person :
Phone:
Account :
 
Name of Bank 2 :
Contact Person :
Phone:
Account :
 
Assets
Balances
Liabilities
Monthly Payment
Cash & Marketable Securities:
Credit Cards:
RRSP/Retirement Accounts:
Bank Loans and Lines of Credit:
Real Estate:
Real Estate Mortgage(s):
Other Assets:
Other Debt/Loans/Liabilities:
 TOTAL ASSETS:
   
 
 GENERAL INFORMATION

All of the statements and information contained throughout this application are completely true and accurate. I/We understand that Ultimate Drivers of Canada is relying on theinformation contained in this application in deciding whether or not to enter into a Franchise Agreement Area Development Agreement with me. Ultimate Drivers of Canada may retain this application and may verify any of the information contained in it or in any other document supplied to the company in connection with this application. I/We understand that I/We not being offered a franchise and that a franchise offering can only be made by a Franchise Disclosure Document prepared and filed in accordance with applicable laws. I/We also understand that ULTIMATE DRIVERS will be doing a credit check directly OR through any agency they are using for this purpose.
Date: 
 
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