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Coldwell Banker® Vietnam affiliation opportunity offers the leading brands to residential and commercial real estate brokerages around the world.  Coldwell Banker® Vietnam provides its affilates with the value of widely recognized and respected brands, powerful national marketing, continuous training, sales supporting systems and the tools.

  Download Affiliate Application Form

 
AFFILIATE APPLICATION FORM

The undersigned hereby applies for a affiliate of Coldwell Banker Vietnam. Applicant hereby authorized us to investigate and verify all statement made, including checking with all persons and entities associated with applicant whether named in this application or not. This may include investigation into the states of real estate, records, credit, financial stability criminal and civil matters, driving record and court filings. This application shall be deemed an authorization of all such person contacted to provide any information we request and you waive any right, cause of action against any party arising out of statement made by any party named herein who supplies us information. It is agreed falsification is grounds for termination.

If Applicant is a partnership, each partner must complete a separate application. If applicant is a corporation or Limited Liability Company, each shareholder, officer directorm and the pricipal must complete a separtate application
Personal
Name (First Last)* Date of Birth (Y/M/D)
Address*
Email Address* Phone number*
Business
ID Number* Mobile

FAX:
Professional Background
Current Occupation/ Title Lenght of Employment Seft Employed
    Yes No
Name of company Business Phone Number
Address Reference Contact
Give a Brief Description of Employment (Duty, number of employees, and etc..)
Previous Occupation / Title Lenght of Employment Seft Employed
    Yes No
Name of company Business Phone Number
Address Reference Contact
Give a Brief Description of Employment (Duty, number of employees, and etc..)
Management qualifications and experience, Resume format for all key personnel attached Yes No
Professional References
Name Phone Institution  

Title

   Contact/Title Phone
Name Phone Institution  
Title   Contact/Title Phone
Name Phone Institution  
Title   Contact/Title Phone
Education
Schools attended Years attend Degree attained
 
Business form
Applicant is a Proprietorship Partnership LLC Corporation
If Corporation or LLC, complete the following
Name of Corporation (LLC)
Name of President Manager Member Other % of Ownership
Name of President Manager Member Other % of Ownership
Name of President Manager Member Other % of Ownership
Name of President Manager Member Other % of Ownership
Name of President Manager Member Other % of Ownership
 
Business Address To be determined
Financial Information
Have you ever filed for bankruptcy? If yes, please explain
Do you have the liquid financial resources to purchase and operate a affiliate?
Estimate net worth $:
Estimated liquid assets (cash, stock, etc)
I have attached my financial statement that is an accurate representation of my financial status as of this date
Yes No    if no, please explain
Representations
In the last 12 months, what was the total number of sales in your geographical area (the area there you plan to open your office)?
How many of the following real estate related transactions have you done in the past 24 months? Estimated sale volume

Residential: Buyer Side

 Seller Side
Property Management
 

Other (please describe)

  
Are you bound by any non-competition or non-compete agreements? Yes No

If Yes, please explain

Please list all immediate family members and relatives that are currently in the real estate business. Please indicate if they will be joining you in Coldwell Banker Vietnam
Name Relation Join Coldwell Banker Vietnam
Yes No
Yes No
Yes No
Yes No
Business Plan and Proposal
Pro-Forma Balance Sheet & Monthly Cash Flow Projection (3 years minimum) Yes No
I submit the foregoing information and/or attached statement as my complete and true personal and financial condition as of the date shown below. I expressly authorize any past or present employer, and law enforcement agency, or any person who has personal knowledge of my character work experience or criminal record to release this information to Coldwell Banker Vietnam. If requested I agree to supply statements from my professional advisors verifying the above assets and I give permission to have said persons supply any relevant information. I also agree to furnish copies of Tax Returns as filed, if requested. I understand that you are relying upon all the above information as a material factor in considering my application to become a affiliate, and I release all persons from liability as a result of true accurate information.
   
Signature of applicant
Date
 
© 2008 Coldwell Banker® Vietnam All Rights Reserved. Coldwell Banker® Vietnam is a registered trademark licensed to Coldwell Banker Vietnam. An Equal Opportunity Company. Each office Is Independently Owned And Operated.