If you are interested in starting your own chicken cottage franchise then please fill in the form below.

Please ensure that you have filled out all sections before pressing the send button, in the Declaration section.

General Information

First Name Surname Gender
Date of Birth Marital Status Nationality
Email Home Phone Business Phone
Mobile Number Fax Number Postcode
Residential Address Previous Address (if less than 4 years at current address) Postcode
How did you hear about this franchising opportunity? Do you have a location? If yes, please provide the address:
Is the location freehold or leasehold? What city would you be interested in for running a Chicken Cottage Franchise? (Please enter your 4 choices)


Course Name Qualification Year Institution

Business Experience

Do you have any business operating experience? If yes, then what type of business?
YesNo Sole ProprietorPartnership

Company Profile

Do you have experience in the food industry? If yes, please outline previous experience
Do you have any other business interests? If yes, please provide details

Financial Details

Monthly Income Dividends, Interest
Property Income Spouse's Income
Total Income £(GBP)

Assets & Liabilities



Cash on hand in the banks Loans payable - friends/family
Securities, shares, Unit trusts Accounts and bills due
Bonds and debentures Property Mortgages
Notes, Accounts Receivable Other Debts and obligations
Property - Current market value
Net value of business interest
Others I.E. Personal property
Total Assets Total Liabilities
Net worth (Assets Less Liabilities)

How much free capital do you have available to invest in the chicken cottage franchise?

Amount £ (GBP)
Have you ever declared personal bankruptcy YesNo
If yes, please provide details, i.e. Date, person(s) involved
Bank Details:
Name of your bank:
Bank Address:


Medical History - Please give details below of any illnesses, operations or accidents:

I hereby declare that, to my best knowledge and belief, the above statement and particulars are true and complete. I also authorise you to make any inquiry you consider necessary in connection with this application. I undertake to furnish any alterations to the above particulars should I apply for further credit at any time in the future. I am aware that, should this application be refused, no reason need be given.
I understand that any misrepresentation of factual information requested on this application form maybe a cause for removal from the Chicken Cottage systems.

Signature Date
You are welcome to upload a document such as a CV to support your franchise application below, or a statement of why you consider yourself suitable.

Please ensure that you have filled out all sections before pressing the send application button

I agree that the information I have provided is correct to the best of my knowledge