Directwigs Franchise
P.O. Box 1006 , Swindon. SN3 6BE, UK

Franchise Application Form and Confidentiality Agreement

APPLICANT INFORMATION

The information you provide on this form will enable us to assess your suitability to become a franchisee. Submitting this form does not place you, or directwigs.com, under any obligation. All information provided will be treated in the strictest confidence.

On receipt of your application form we will contact you to arrange an informal meeting to discuss your application and franchise opportunities further.

Please complete all areas clearly and in capitals.

PERSONAL INFORMATION

Name …………………………………………….………

Address …………………………………………………..

……………………………………………………………..

……………………………………………………………..

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Postcode …………………………………………………

Home Telephone ………………………………………..

Mobile Telephone ……………………………………….

Email ………..…………………………………………….

Date of Birth …………/……………/……..……………..

Marital Status ……………………………………………

Homeowner/Tenant/Other (Please specify )

………………………………………………………

Are you in good health? Yes No

Have you had any serious

illnesses in the past 2 years? Yes No

If yes, please specify……………………………………..….

………………………………………………………………….

Do you hold a driving licence? Yes No

Do you have any endorsements? Yes No

Have you ever been convicted

of a criminal offence? Yes No

In which geographic area are you interested in operating a franchise?

……………………………………………………………….…..

Which level of franchise would you prefer?

Home/Mobile Large Retail Unit

Small Retail Unit

EDUCATION

Please list qualifications held:

Secondary Education

(i.e. CSE/O Level/GCSE/A Level)

…………………………………………………….……...

……………………………………………………….……

………………………………………………………….…

Higher Education

(i.e. Diploma/ HNC/HND/Degree)

Professional Qualifications ………….…..…………………………………………………….

………..…………….…………………………………………….

……………………………………….……………………………

…………………………………………………………………..

……………………………………………………………………

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EMPLOYMENT

What is your current employment status?

Employed Self-Employed

Unemployed

Have you previously owned your own business?

Yes No

Have you ever been declared bankrupt?

Yes No

How do you propose to finance the business?

Own funds - Bank Loan - Other loan

Other (if so, please give details) ………………….

…………………………………………………………….

What level of capital do you currently have available?

£……………………………………………………………

Do you have collateral to support any planned loan?

Yes - No

Current or Last Employer:

Name………………………………………………………

Address……………………………………………………

……………………………………………………………..

……………………………………………………………..

Postcode………………………………………………….

Nature of Business………………………………………

Position Held……………………………………..………

From …….…/…. ...…/……. to ….../……. ../……….

Gross Income £…………………………………………

Reason for Leaving …………………………………….

…………………………………………………………….

…………………………………………………………….

CONFIDENTIALITY AGREEMENT

As part of the process of becoming a franchisee, directwigs.com will disclose information to you about its business, its products and its franchise arrangements. We require that you read and confirm your acceptance to the following confidentiality clauses by signing where indicated below.

• You will keep all information provided by directwigs.com or Perfection Hair UK Ltd secret and confidential, and will not reveal any part of it.
• You will not use the information for any purpose other than to assess directwigs.com as a potential franchisor.
• You will not keep, reproduce or distribute any document or part thereof by any medium.
• You will ensure that any information received by you will at all times remain in your possession, and you will return all items to us if you decide not to proceed with a directwigs.com franchise.
• You undertake that any other person to whom information is disclosed shall act in the same way.

I confirm that the information I have provided is, to the best of my knowledge, true and complete. I understand that any misrepresentation given may result in the termination of my application.

I confirm that I have read and accept the terms of the confidentiality agreement given above.

Signed ……………………………………………… Date …………/…………/………….

Print Name…………………………………………..