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1.Personal

Mr Mrs Miss Ms Dr Prof Wizard

First Name (required)

Surname (required)

Address (required)

Postcode (required)

Home Telephone Number (required)

Mobile Telephone Number

Email Address (required)

Nationality (required)

Are you free to live and work in this country? (required)
Yes No

No. Dependent Children (required)
  Ages

2.Career & Qualifications

Add Job

Please list any qualifications you have (required)

Please list any courses you have taken that will assist you in managing a franchise business (required)

Please list details of any sales and / or marketing experience you feel is relevant in considering you for a franchise (required)

Please list details of what experience you have that you feel would be helpful to you in your role as a manager for your franchise (required)

Please list any other information you feel is relevant in considering you for a franchise (required)

3.Driving

Do you have a full driving licence? (required)
Yes No

Do you have any penalty points? (required)
Yes No

If yes, please specify If yes, please specify

4.Health

Do you have any health problems? (required)
Yes No

If yes, please specify If yes, please specify

Are you currently receiving medical treatment? (required)
Yes No

If yes, please specify If yes, please specify

5.Legal & Finance

Do you have criminal record? (required)
Yes No

If yes, please specify If yes, please specify

Have you ever had a Country Court Judgement made against you? (required) Yes No

If yes, please specify If yes, please specify

Have you ever been bankrupt? (required)
Yes No

If yes, please specify If yes, please specify

6.Other Personal Information

Do you or anyone else to be active in the business have any ongoing interest in any other business? (required)
Yes No

If yes, please specify If yes, please specify

Is there anyone else who would be active in this business? (required)
No Yes

If yes, please fill in other persons details

Name:

Relationship

Are you, or any relative or close friend, connected with either the pest or bird control sectors or any area of franchising? (required)
Yes No

If yes, please specify If yes, please specify

Are there any restrictions (restrictive covenants) from your current/previous employer which will affect your ability to work for the company? (required)
Yes No

If yes, please specify If yes please specify

7.Availability

If you were to proceed with NBC, when would you wish to commence? (required)

Please indicate the county(s) in which you are interested (required)

8. Finance

Please indicate the source of your investment (required)

Available Capital £ (required)

Bank Loan £ (required)

Other Loan £ (required)

Value of House £ (required)

Amount of Mortgage £ (required)

9. Other

Where did you hear about NBC? (required)
Select... Advertisement Exhibition / Show Google Search Mailer Other Search Engine Press Article Referral Saw NBC vehicle Used NBC previously Yell.com Yellow Pages Other (Please specify)

Other

I confirm that the information I have given is correct and to the best of my knowledge.

10. By clicking the 'Submit You Application' button below, you:-

(a) agree to having read and accepted the terms of our Terms of Use and Privacy Policy; and

(b) voluntarily submit the above information to us and invite us to respond to your Application by email or otheriwse; and

(c) agree to NBC Bird and Pest Solutions Limited sharing your above information with other companies and processors within the NBC Network including without limitation NBC Bird and Pest Solutions (Franchising) Limited for the purpose of its processing, otherwise dealing with, and responding to, your application; and

(d) you consent (unless you e-mail us (enquiries@nbcbirdandpest.co.uk) stating that you no longer wish to receive such communication from us) to our retaining your above details on our non-electronic contact database and receiving from us in the future by non-electronic communication (eg, mailshot) information about our services marketing information and news for example relating to our new service offerings, improvements , and offers which we consider may be of interest to you. If you do opt out by sending us an email, your details will be removed from our non-electronic contact lists

Please place a tick in the box if you consent to our retaining your above details on our electronic mailing database and receiving from us in the future by e-mail or other electronic communication information about our services, marketing information and news for example relating to our new franchise or service offerings, improvements, and offers which we consider may be of interest to you.

If you tick the above box but subsequently no longer wish to receive such communication from us, please send an appropriate e- mail to us at enquiries@nbcbirdandpest.co.uk and your details will be removed from our electronic mailing lists

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