QUALIFICATION FORM

COUNTRY*

STATE*

CITY*

* fields are mandatory

FULL NAME*

SEX*
male female

YOU HAVE KIDS?*
yes no

DATE OF BIRTH*

MARITAL STATUS*

NAME OF SPOUSE

ID#*

TAX NUMBER*

ADDRESS*

NUMBERº*

COMPLEMENT

NEIGHBORHOOD*

CITY*

STATE*

ZIP*

E-MAIL*

PHONE*

MOBILE/CELL*

* fields are mandatory

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PROFESSIONAL DATA*
ENTREPRENEUR EMPLOYEE UNEMPLOYED RETIRED

EDUCATION:*

DO YOU HAVE PREVIOUS EXPERIENCE IN A PRIVATE COMPANY? COMMENT.

EXPERIENCE 1:*

EXPERIENCE 2:

DO YOU HAVE PREVIOUS EXPERIENCE IN BUSINESS MANAGEMENT? COMMENT.*

WILL YOU WORK IN PARTNERSHIP WITH OTHER PEOPLE?*
YES, I WILL BE THE OPERATING PARTNER.
YES, I WILL BE THE INVESTING PARTNER
NO.

* fields are mandatory

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WHAT IS THE EXPECTED AVERAGE MONTHLY SALES?*

WHAT IS THE EXPECTED MONTHLY NET INCOME (%)?*
%

WHAT TO EXPECT A HERING FRANCHISE?*

COMMENTS:

Gerar nova imagem

The HERING STORE reserves the right to review the technical and registration conditions of a number of candidates and decide which best suits the Company´s needs, by receiving the franchise qualification form for a particular location does not imply the confirmation of a reservation.

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