14th FEA OFFICIAL APPLICATION FORM
FRANCHISEE OF THE YEAR AWARD
Instructions:
1. The application form to be filled up by the franchisee himself/herself.
2. Please type or print legibly and fill up all applicable items. Write NA where the item is not applicable.
Qualifications:
1. Open to all franchisees with single or multiple outlets with a nominating franchisor.
2. Successful franchise operations with a minimum of two consecutive years.
NOMINATING FRANCHISOR/POSITION:FRANCHISOR’s ASSET SIZE: / SIGNATURE:
FRANCHISEE PROFILE
FRANCHISEE NAME: / FRANCHISE NAME:
YEAR BUSINESS STARTED with FRANCHISOR:
REGISTERED COMPANY NAME BUSINESS ADDRESS
CONTACT PERSON / DESIGNATION
TEL NOS. FAX NO. / MOBILE NO,
EMAIL ADDRESS: / WEBSITE:
Sales Performance: Gross Annual Sales (Figures declared should be based on the audited financial statements)
Year 2014 ______Year 2015______Year 2016______
Growth Rate (2014 vs 2015)______Growth Rate (2015 vs 2016)______
Financial Performance: Net Income After Tax (Figures declared should be based on the audited financial statements)
Year 2014 ______Year 2015______Year 2016______
Growth Rate (2014 vs 2015)______Growth Rate (2015 vs 2016)______
BUSINESS REGISTRATION
BUSINESS REGISTRATION / DATE / REGISTRATION NO.
DEPARTMENT OF TRADE & INDUSTRY (DTI)
SECURITIES & EXCHANGE COMMISSION (SEC)
BUREAU OF INTERNAL REVENUE (BIR)
Have you closed down any outlets in the past two years? How many are they? Please state briefly the reasons for closure.
HAS YOUR COMPANY BEEN SUED BY ANOTHER PARTY (other franchisors, your [sub]franchisees, mother franchisor, suppliers, customers, etc.)? / q Yes
q No / IF YES, WHEN?
REASON / NATURE OF THE CASE(S) / STATUS
DO YOU HAVE ANY PENDING CASE(S) IN COURT? / __Yes _No / IF YES, SINCE WHEN? / STATUS
NATURE OF THE PENDING CASE(S)
I hereby certify that all information supplied herein together with all the attached documents our company submitted are true and correct. I understand that these data will remain confidential to the Organizer, the Awards Committee, and the Board of Judges. Likewise, our company permits possible “unannounced” ocular inspection (during store/mall hours) at any of our stores/outlets and conduct of interviews with the franchisees and suppliers for the purpose of the Awards only.
SIGNATURE OVER PRINTED NAME: ______DATE: ______
DESIGNATION : ______
Note: All the materials submitted to PFA will be kept and treated with confidentiality and will only be used purposely for the 14th Franchise Excellence Awards screening and judging. After the process, all materials submitted will be returned to your office.
For inquiries and more information, please contact: Philippine Franchise Association Secretariat
Unit 701 One Magnificent Mile (OMM) – Citra Bldg., San Miguel Ave., Ortigas Center, Pasig City
Tel Nos. (632) 687-0365 to 67 Fax Nos. (632) 687-0635 Email: