FRANCHISE APPLICATION FORM 

STRICTLY PRIVATE & CONFIDENTIAL – NO REFERENCES WILL BE TAKEN UP AT THIS STAGE AND NOT WITHOUT YOUR EXPRESS PERMISSION 

The completion of this application form does not obligate you or Nugelato® in any way or manner. This is not a contract. Incomplete applications delay processing.

If you prefer, you can Download this form and post to:
 NUGELATO® 12 CAUSEWAY ROAD, NEWCASTLE CO. DOWN, BT33 0DL  

PERSONAL PROFILE
Name *
Name
Date of Birth
Date of Birth
Name of spouse/partner
Name of spouse/partner
Home Address
Home Address
Have you ever been self employed?
Have you had or are you suffering from any serious illness?
Have you ever been declined life, accident or health insurance?
Have you ever been convicted of any charge other than a minor traffic offence?
EDUCATIONAL PROFILE
Did you attend college/ higher education?
BACKGROUND INFORMATION
Have you ever visited a Nugelato Ice cream boutique?
Are you willing to devote your full time and attention to the proposed operation?
FINANCIAL INFORMATION
Please note processing of this application will not begin until all relevant information is submitted.No references will be taken up without your express permission, all information is strictly private and confidential.
PERSONAL ASSETS
£
£
£
£
£
£
£
£
£
£
PERSONAL LIABILITIES
£
£
£
£
£
£
£
£
BANK DETAILS
Bank Address
Bank Address
Bank Contact
Bank Contact
Is your bank aware of your intentions with regard to Nugelato?
SOLICITOR DETAILS
Solicitor Name
Solicitor Name
Solicitor Address
Solicitor Address
Are you able to commit a minimum of £100,000 to the venture from your own resources?
MONTHLY INCOME
£
£
£
£
£
£
MONTHLY EXPENSES
£
£
£
£
£
£
£
£
£
£
£
Does your spouse/ partner contribute to household expenses?
PERSONAL REFERENCES
(relations are not acceptable as personal referees) please provide two
Reference 1 Name
Reference 1 Name
Reference 1 Address
Reference 1 Address
Reference 2 Name
Reference 2 Name
Reference 2 Address
Reference 2 Address
BUSINESS / TRADE REFERENCES
please provide two
Business Address 1
Business Address 1
Business Address 2
Business Address 2
YOUR ACCOUNT'S DETAILS
Accountant Name
Accountant Name
Accountant Address
Accountant Address
YOUR BUSINESS EXPERIENCE
From
From
To
To
From
From
To
To