麦当劳加盟申请表.doc

为确保申请流程的准确与效率，请在正式填写申请表前回答以下问题：是 否 1、您了解目前特许经营方式是转让一家已在营运中的成熟麦当劳餐厅，不需要您自己选地址是 否 2、您了解申请流程中必须接受 9-10个月的全职训练（或更长时间的兼职训练）和评估，而且必须是您本人参加训练是 否 3、您是否愿意将麦当劳作为唯一的事业，并在经营期内全职对餐厅的日常工作全力以赴是 否 4、个人拥有至少 200万现金或等同现金的股票，债券、房屋等可以变现的资产是 否 5、你了解我们可以申请特许经营的城市有：无锡、宜兴、苏州、吴江、常熟、常州、张家港、昆山和南京1. Personal Information (个人信息)* 表示必填信息English Name英文姓名* Chinese Name中文姓名Maiden Name or any Alternate Names Used 婚前名或曾用名* Place of Birth出生地点 * Date of Birth出生年月* Sex性别 男 女Passport No护照号码* I.D. Card No.身份证号码* Home Tel. No.(with area code)住宅号码 (包括区号)* Personal Mobile 个人移动号码* Personal Email address :个人电子邮件地址：* Current home address: 目前的家庭住址：Previous home address: 前家庭住址：* Nationality (including any dual nationality):国籍（包括任何双重国籍）：Former Nationality (if any):之前国籍（如有的话）：MaritalStatus (select one)婚姻状况(选一个)Single/Never Married未婚Separated分居Married已婚Divorced 离婚Widowed丧偶Spouse 配偶 English Name英文姓名Chinese Name中文姓名Place of Birth出生地点Date of Birth出生年月I.D. Card No.身份证号码Occupation(if not working, last occupation)职业 (如目前无工作,请列出最后的职业)Employer (if not working, last employer)雇主 (如目前无工作,请列出最后的工作单位)Present Residential Address 目前居住地址 Child 儿女 +English Name英文姓名Chinese Name中文姓名Place of Birth出生地点Date of Birth出生年月I.D. Card No.身份证号码Occupation(if not working, last occupation)职业 （如目前无工作,请列出最后的职业）Employer (if not working, last employer)雇主 （如目前无工作,请列出最后的工作单位）2. Education ( 教育背景)Type of School学校Name, address and phone number of school/university学校名称,号码和地址Subject专业From -To起止时间Degree?Y / N是/否有学位?(请列出)Certificate # 证书编号Secondary School中学Y NVocational School职校/技校Y NUniversity大学Y NOther Courses +其他进修课程Y NScholarship obtained +所获奖学金Y NOther Professional Qualifications +其他专业资质Y N3. Business Experience（商业经验）Present occupation目前职业状况：* Position职位：* Dates employed起始日期：* Company公司名称：* Address地址：* Telephone number：Fax number：Website address网址：Describe duties, number ofemployees supervised描述工作职责及所管理的员工数量：Previous business experience(List most recent first.) 过去的商业经验（从最近的开始）* Have you ever owned your own business or franchise? If so, explain.是否曾拥有自己的生意或特许经营店？如是，请介绍：* Have you ever had a business failure? If so, explain是否曾经历生意经营失败？如是，请介绍：4. Miscellaneous Information（其他)* The flexibility to relocate may be required。

To which general geographic area（s）would you be willing to relocate for a restaurant opportunity 可以前往特许经营之县市/省 (请依个人意愿依先后顺序填写)List any hobbies， community activities， special interests or other pertinent information 列出您的嗜好、常参加的小区活动、特别兴趣或其它相关的信息* Are you related by blood or marriage to any officer of McDonald‘s China是否有亲戚在麦当劳任职？ 是 否* Have you ever worked in a McDonald‘s restaurant？If so， where and when？您曾在麦当劳餐厅工作过吗？如果是，何时？在哪家餐厅？* Have you ever applied for a McDonald‘s franchise？ If so， where and when？您曾经申请参加麦当劳特许经营吗？如果是，何时？5. Please list at least 2 references. We may contact them for further information regarding your information (请列出至少两位最能评估您过去的表现与实力的人士。

本公司在必要时可能会与他们联络，以进一步了解您的情况)* 姓名Name* 单位Company* 职位Position* 关系Relationship* 联系Telephone6. PERSONAL FINANCIAL STATEMENT/个人资产状况 （Significant Property Holdings and Business Interests.(所拥有的较大价值的财产以及从事的其他商业活动)INCOME STATEMENT FOR 12 MONTH PERIOD ENDING截至 年 月，12 个月期间的收入状况Salary, wages, bonus, commissions工资、奖金、佣金 RMB $Dividends, interest股息、利息Other income - specify source, e.g., business profits (self-employed), trust, etc.其他收入，列出具体来源，如自有生意的利润、信托投资收益等* TOTAL总额 RMB $Please provide details on the following asset verification schedulesschedule numbers in parentheses) 请提供以下资产清单 .Assets/资产 RMB $ Liabilities/负债 RMB $Cash on hand and in banks 现金及银行存款总额RMB $Loans/notes/accounts payable 借款/票据/应付款RMB $Vested profit sharing 分得的利润RMB $Real estate mortgages 不动产抵押RMB $Securities, Bonds/debentures 证券和债券RMB $Other debts or obligations 其他负债或义务RMB $Notes, accounts and mortgages receivable 票据、应收款RMB $ Real estate-current market value 不动产-市场现值RMB $ Net value of business interests 自有生意的净值RMB $ Other-automobiles and other personal property, etc. 其他-汽车和其他动产RMB $* Total liabilities/总负债RMB $* Total assets/总资产 RMB $Net Worth/净资产RMB $7. Please answer the following (请回答以下问题)7.1 CIVIL/CRIMINAL LITIGATION AND REGULATORY MATTERS/民事诉讼刑事诉讼和其他法律事项* Have you, your spouse, or any business concern you ever controlled, were employed by, served as an officer or director of, or had an ownership interest in, ever been arrested or charged with any crime or offense (other than minor traffic violations)? If yes, provide the following information with regard to any indictment, information, accusation, summons, complaint, arrest or conviction below. /您、您的配偶或您曾控制、受雇、任董事或高级管理职位或持有所有人权益的任何商业组织是否曾被捕、被控刑事犯罪或违法（轻微之交通违章事件除外）* Have you, your spouse, or any business concern you ever controlled, were employed by, served as an officer or director of, or had an ownership interest in, been a plaintiff or defendant in any civil matter in a court of law (including debt collection matters or bankruptcy proceedings) or been the subject of a judgment? If yes, provide the details below. / 您、您的配偶或您曾控制、受雇、任董事或高级管理职位或持有所有人权益的任何商业组。