SECTION A : PERSONAL DETAILS
*Name:
*Age:
*Gender:
Male
Female
*I/C No.:
*Residential Address:
*Mailing Address:
Country of Residence:
Select a Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Other
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St.Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
*Date of Birth:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
Handphone:
010
011
012
013
016
017
018
019
(eg. 013-7311234, choose 013 from the drop down on the left and key in 73112345 in the box.)
Email:
Spouse Name :
*Contact No. (Off/Hse):
Please enter state code (eg. 03-73112345)
Highest Level of Education:
How did you first find out about the Sports Planet Franchise?
Name of college and/or university school:
Field of Occupation :
Position Held :
Company Name :
Describe duties, responsibilities and number of employees
supervised
(if any):
Have you ever owned your own business or Franchise:
WORK EXPERIENCE
BUSINESS EXPERIENCE
Locations interested in and/or exploring to operate Sports Planet Franchise?
Do you already have any warehouse or location?
Yes
No
How much capital do you readily available to start the Sports Planet Franchise:
List any hobbies, community activities, special interests, or other pertinent information:
Have you ever been convicted of anything other than minor traffic violations? Are you involved in pending litigations?
Have you or your spouse ever declared personal bankruptcy?
Please explain.
Are you a relative to any Sports Planet staff?
Yes
No
Relative Name :
Will you be devoting your full time & operating to this business?
Yes
No
Are you willing to relocate?
Yes
No
Have you ever applied for a Sports Planet Franchise? If so, where and when?
SECTION B : PERSONAL REFERENCE
*Name (other than relatives) :
*Residential Address:
Occupation :
*Contact No. (HP preferred) :
DECLARATION
I further understand that Sports Planet has the sole right to approve or disapprove the Application for any reason it may determine. In the event that Sports Planet disapproves this Application, Sports Planet shall have no liability or ongoing obligations to me .
I certify that the information contained in this Application is accurate and complete. Sports Planet is authorized to investigate my background as it pertains to my qualifications. I further authorize Sports Planet to obtain a credit report and obtain any other information about my credit history as it deems necessary to evaluate my suitability as a potential Sports Planet franchisee. I hereby declare that all information given above is true and correct.
Please tick here to confirm you have read the above declaration :