APPLICATION FOR FACTORING FACILITY

Size: px
Start display at page:

Download "APPLICATION FOR FACTORING FACILITY"

Transcription

1 Suite B-11-2, Megan Avenue 1, No. 189, Jalan Tun Razak, Kuala Lumpur, Malaysia Tel: Fax: Website: APPLCATON FOR FACTORNG FACLTY Factoring Confirming Facility Bank Guarantee Facility Amount: RM A. PARTCULARS OF APPLCANT 1. Company Name: 2. Type of Company (Please tick where applicable) Sendirian Berhad Partnership Proprietorship 3. Date of ncorporation/registration: 4. ncorporation/registration Certificate No: 5. Registered Address: 6. Business Address: Telephone No : Fax No: Address. : 7. Contact Person/Contact No. (H/P): 8. Nature of Business : 9. Authorised Capital : 10. Paid-up Capital : 11. Status of Company : Bumiputra Company Non-Bumiputra Company Foreign Company 12. Company s shareholder: No Name of Shareholders NRC No. No. of Shares % 1

2 Factoring Finance nstitution (Schedule nstitution) under Section 19(1) Banking and Financial nstitution Act (BAFA) Board of Directors: No Name NRC No. Resident Address 14. Name of Company s Top Management Personnel: No Name Position Year(s) in Company 15. Bank Reference: No Name Branch A/C No. Type & Amount of Facilities Obtained Name of Contact Person & Tel. No. 16. Name of Co. Secretary: Address : Tel. No. : 2

3 Factoring Finance nstitution (Schedule nstitution) under Section 19(1) Banking and Financial nstitution Act (BAFA) 1989 B. PARTCULARS OF CONTRACT PURCHASE ORDER (PO) 1. CONTRACT Contract/PO No : Amount : Description : Remarks : 2. CUSTOMER Name : Address : Contact Person : Contact Number: 3. SUPPLER Name : Address : Contact Person : Tel/Fax No. : Cost of Purchase : Term of Purchase : Expected Date of Delivery : 4. CONTRACT SUMMARY 1. Contract/Po Amount 2. Total Purchase Cost 3. Gross Profit 4. Percentage of Gross Profit (i.e.item3 / item 1) % 5. Expected Repayment Period From Employer days 3

4 Factoring Finance nstitution (Schedule nstitution) under Section 19(1) Banking and Financial nstitution Act (BAFA) 1989 D. DOCUMENTS TO BE SUBMTTED WTH THS APPLCATON 1. A certified copy of Memorandum and Article of Association of your company (for limited company only). For sole-proprietorship or partnership, a copy of the Business Registration certificate. 2. A certified copy of Form 9, 13, 24, 34, 40, 44, 49 & Annual Return. 3. Company Profile (To include resume on directors/shareholders personnel form attached) 4. Photocopy /C of all directors and shareholders. 5. Original copy of the contract/purchase order/ letter of award. 6. A copy of the supplier s quotation or proforma invoice and the relevant catalog for the products contracted for, where applicable. 7. Audited accounts for the last 3 years, if available. 8. Latest 6 months Bank Statement. 9. A copy of Registration Certificate with Ministry of Finance/ MOF Certificate & PKK. 10. Copy of all existing banking facilities i.e. OD/Term Loans/LCTR/BG off letters. 11. List of Track Record. 12. List of anticipated contract (to include tender participation) E. Declaration Has the company, or any of its Directors & Shareholders ever filed for bankruptcy Yes No been served with a winding up / bankruptcy petition? s there any pending litigation, legal and / or administration proceeding against the Yes No company or its Directors & Shareholders? Are there any judgments pending by or against the company, directors & shareholders? Yes No That, pursuant to the Credit Reporting Agencies Act 2010 ( Act ), we and /We, the following individuals whether as ndividual or as Directors / Shareholders / Business nterest Parties do hereby give consent to Planworth Global Factoring Sdn Bhd to obtain and/or disclose any Credit nformation (as defined in the Act) relating to me/our company from and/or to RAM Credit nformation Sdn Bhd or any source deemed appropriate to verify my/our credit history as you and/or RAM Credit nformation Sdn Bhd or any source deemed appropriate may deem fit under any applicable law, regulation, guidelines, regulatory requirement or directive in relation to my/our company s credit application or transaction with you for the following purposes (but not limited to) opening of account, credit evaluation, credit/account review, credit/account monitoring, debt recovery purposes, scoring solutions, legal documentation and/or action consented to a contract or facility granted. Such consent shall remain applicable as long as /our company am/is maintaining an account/loan/credit/any transaction with you. /We certify that the above information and the fact set forth set in this application (including) any supplemental document(s), if any to and made a part of this application) are true and correct. Date: Authorised signatories(s) with Company Chop 4

5 PROFLE FORM PERSONAL DETALS OF DRECTORS / SHAREHOLDERS/ GUARANTORS Name : NRC No. Passport No. : Resident: Telephone No. : Date of Birth : Sex : Nationality : Race: Academic / Qualification: WORKNG EXPERENCE Period Organisation Position / Responsibility STATEMENT OF ASSETS & LABLTES Asset a) Land & Building RM b) Saving & Deposits RM c) nvestment in other Companies RM Other Assets d) RM e) RM Liabilities Tanggungan a) Amount owing to Financial nstitutions RM Other Liabilities b) RM c) RM 5

6 PROFLE FORM That, pursuant to the Credit Reporting Agencies Act 2010 ( Act ), we and /We, the following individuals whether as ndividual or as Directors / Shareholders / Business nterest Parties do hereby give consent to Planworth Global Factoring Sdn Bhd to obtain and/or disclose any Credit nformation (as defined in the Act) relating to me/our company from and/or to RAM Credit nformation Sdn Bhd or any source deemed appropriate to verify my/our credit history as you and/or RAM Credit nformation Sdn Bhd or any source deemed appropriate may deem fit under any applicable law, regulation, guidelines, regulatory requirement or directive in relation to my/our company s credit application or transaction with you for the following purposes (but not limited to) opening of account, credit evaluation, credit/account review, credit/account monitoring, debt recovery purposes, scoring solutions, legal documentation and/or action consented to a contract or facility granted. Such consent shall remain applicable as long as /our company am/is maintaining an account/loan/credit/any transaction with you. /We certify that the above information and the fact set forth set in this application (including) any supplemental document(s), if any to and made a part of this application) are true and correct. Date: Authorised signatories(s) 6

Al-Ijarah Leasing and Factoring Finance Institution (Schedule Institution) under Section 19(1) Banking and Financial Institution Act (BAFIA) 1989

Al-Ijarah Leasing and Factoring Finance Institution (Schedule Institution) under Section 19(1) Banking and Financial Institution Act (BAFIA) 1989 KHTAR FACTORNG SDN.BHD (507971 X) No. 11, Pekeliling Business Centre, Jalan 5/65C, Off Jalan Pahang Barat, 53000 Kuala Lumpur. Tel: 603-4024 6200, 4024 2500, 4024 2201 Fax: 603-4022 1202 Website: www.ikthiarfactoring.com

More information

Al-Ijarah Leasing and Factoring Finance Institution (Schedule Institution) under Section 19(1) Banking and Financial Institution Act (BAFIA) 1989

Al-Ijarah Leasing and Factoring Finance Institution (Schedule Institution) under Section 19(1) Banking and Financial Institution Act (BAFIA) 1989 KHTAR FACTORNG SDN.BHD (507971 X) No. 10 G, Persiaran 65, Pekeliling Business Centre, Off Jalan Pahang Barat, 53000 Kuala Lumpur. Tel: 603-4024 6455, 4022 6455, Fax: 603-4022 4020 Email : sera@ikhtiarfactroing.com

More information

Capital Equipment Finance Application Form

Capital Equipment Finance Application Form Application and contact information Full name of legal entity: Trading name: Registration no.: VAT registration no.: Income Tax No.: PAYE no.: Business Address: Postal Code: Postal Address of the business:

More information

TRADE CREDIT INSURANCE (EXPORT/ IMPORT/DOMESTIC)

TRADE CREDIT INSURANCE (EXPORT/ IMPORT/DOMESTIC) FORM TRADE CREDIT INSURANCE (EXPORT/ IMPORT/DOMESTIC) For Bank s Use Only : ITEM DATE NAME OF APPLICANT Received Acknowledgement BDC Export FIIC FACILITY Domestic BCC Import BOD 1.0 PROFILE 1.1 DETAILS

More information

Note : Unless the material damage Policy on the Premises and stock is covered by us, business interruption insurance will not be considered.

Note : Unless the material damage Policy on the Premises and stock is covered by us, business interruption insurance will not be considered. QBE Insurance (Malaysia) Berhad Reg.. 161086-D. 638, Level 6, Block B1, Leisure Commerce Square,. 9, Jalan PJS 8/9, 46150 Petaling Jaya, Postal Address P.O. Box 10637, 50720 Kuala Lumpur, MALAYSIA. Phone:

More information

TRADE FINANCING FACILITIES

TRADE FINANCING FACILITIES APPLICATION FORM TRADE FINANCING FACILITIES Please Tick ( ) where appropriate: Supplier Credit Facility Import Financing Trust Receipt Vendor Financing Scheme Supplier Financing - i Import Financing -

More information

BORNEO DEVELOPMENT CORPORATION (SABAH) SDN. BHD. (Company No: 240332-X)

BORNEO DEVELOPMENT CORPORATION (SABAH) SDN. BHD. (Company No: 240332-X) BORNEO DEVELOPMENT CORPORATION (SABAH) SDN. BHD. (Company No: 240332-X) APPLICATION FOR MORTGAGE LOAN (To finance the purchase of residential/commercial property) 1. PERSONAL PARTICULARS Mr Madam Miss

More information

DEBTOR FINANCE. Please FAX signed application form back to Nova Business Finance on 1300 138 187

DEBTOR FINANCE. Please FAX signed application form back to Nova Business Finance on 1300 138 187 DEBTOR FINANCE Please FAX signed application form back to va Business Finance on 1300 138 187 va Business Finance is pleased to accept your application with a view to providing you with a solution to your

More information

Chapter 2. Companies Legislations

Chapter 2. Companies Legislations Chapter 2 Companies Legislations 2.1 The principal legislations in Malaysia are as follows:- Registration of Businesses Act 1956; Partnership Act 1961; The Companies Act, 1965 governs the establishment

More information

PRE QUALIFICATION TO TENDER INTERIOR FIT-OUT CONTRACTOR MALAYSIAN INSTITUTE OF ACCOUNTANTS CORPORATE OFFICE. Date: 1 October 2015

PRE QUALIFICATION TO TENDER INTERIOR FIT-OUT CONTRACTOR MALAYSIAN INSTITUTE OF ACCOUNTANTS CORPORATE OFFICE. Date: 1 October 2015 T002A/2015-2016 PRE QUALIFICATION TO TENDER INTERIOR FIT-OUT CONTRACTOR for MALAYSIAN INSTITUTE OF ACCOUNTANTS CORPORATE OFFICE Date: 1 October 2015 Closing Date: 12.00 p.m, on Tuesday, 13 October 2015

More information

MALAYSIAKITCHEN FINANCING FACILITIES

MALAYSIAKITCHEN FINANCING FACILITIES APPLICATION FORM MALAYSIAKITCHEN FINANCING FACILITIES Please Tick ( ) where appropriate: MalaysiaKitchen Financing Facility MalaysiaKitchen Financing-i Loan Amount Applied For Bank s Use Only: Applicant

More information

APPLICATION FORM FOR APPROVED DEVELOPER

APPLICATION FORM FOR APPROVED DEVELOPER App-AD Rev 8.12.2011 APPLICATION FO FOR APPROVED DEVELOPER GUIDELINES FOR APPLICATION FOR APPROVED DEVELOPERS 1) The applicant must be a newly incorporated company under the Companies Act 1965 or if not

More information

RHB EUROZONE INDEX BETA FUND

RHB EUROZONE INDEX BETA FUND FIRST SUPPLEMENTARY INFORMATION MEMORANDUM This first supplementary information memorandum is dated 5 August 2015 and must be read together with the information memorandum dated 13 April 2015 for:- RHB

More information

BUSINESS BANKING FACILITIES APPLICATION FORM

BUSINESS BANKING FACILITIES APPLICATION FORM BUSINESS BANKING FACILITIES APPLICATION FORM APPLICATION FORM FOR UOB CREDIT FACILITIES United Overseas Bank Limited 80 Raffles Place #14-05 UOB Plaza 1 Singapore 048624 Tel: 1800 226 6121 uobgroup.com

More information

Application Form Heriot-Watt University Malaysia

Application Form Heriot-Watt University Malaysia FOR UNIVERSITY USE ONLY: Consultant: University use only Conditional Unconditional Rejected Date Approved by Signature Remarks Application Form Heriot-Watt University Malaysia PLEASE USE CAPITAL LETTERS

More information

ACCOUNT APPLICATION FORM INDIVIDUAL (Please read the terms and conditions attached to this application form before completing the form)

ACCOUNT APPLICATION FORM INDIVIDUAL (Please read the terms and conditions attached to this application form before completing the form) Appendix 1 ACCOUNT APPLICATION FO INDIVIDUAL (Please read the terms and conditions attached to this application form before completing the form) A. TYPE OF ACCOUNT/FACILITY Please tick ( ) where applicable

More information

BUSINESS BANKING FACILITIES APPLICATION FORM

BUSINESS BANKING FACILITIES APPLICATION FORM BUSINESS BANKING FACILITIES APPLICATION FORM A P P L I C A T I O N F O R M F O R U O B C R E D I T F A C I L I T I E S To expedite your application, please complete the form in full and submit the following:

More information

Mortgage Loan Application

Mortgage Loan Application Mortgage Loan Application Personal Details: Applicant Name (as per passport): Mr./Ms./Mrs. First name Middle name Last name Date of birth: Marital status: Single Married. of dependents: Children Others

More information

MALAYSIA: INVESTMENT IN THE SERVICES SECTOR MARKET RESEARCH SERVICES

MALAYSIA: INVESTMENT IN THE SERVICES SECTOR MARKET RESEARCH SERVICES MALAYSIA: INVESTMENT IN THE SERVICES SECTOR MARKET RESEARCH SERVICES Market Research Services 1 Introduction This booklet is one of a series of 20 booklets prepared by MIDA for the purpose of providing

More information

BUSINESS LOAN PACKAGE. First Federal Bank of Florida

BUSINESS LOAN PACKAGE. First Federal Bank of Florida BUSINESS LOAN PACKAGE First Federal Bank of Florida BUSINESS CREDIT APPLICATION INFORMATION ABOUT THE BUSINESS: Legal Business Name Physical Address City State Zip Type of Organization: Sole Proprietorship

More information

Loan Application - Company

Loan Application - Company BANK OF CHINA LIMITED, SYDNEY BRANCH A.B.N. 29 002 979 955 AFS License No. 230547 Bank of China Limited, Sydney Branch Telephone: (02) 8235 5888 39-41 York Street Telegraphic Address: Chungkuo, Syd. Sydney

More information

PwC Alert Limited Liability Partnerships A new business vehicle in town

PwC Alert Limited Liability Partnerships A new business vehicle in town Issue 110 November 2013 PP 9741/10/2012 (031262) PwC Alert Limited Liability Partnerships A new business vehicle in town www.pwc.com/my The rapid pace of globalisation and competition has changed the dynamics

More information

Where applicant is a Private Limited Company or Sdn Bhd

Where applicant is a Private Limited Company or Sdn Bhd Where applicant is a Private Limited Company or Sdn Bhd Standard / Common Documents - generally required by the Banks to be submitted in a SME Loan Application Section Company and Related Persons' Background

More information

Personal Home Loan Application Form

Personal Home Loan Application Form Personal Home Loan Application Form Name: A/C No.: PFC / RM Code: Call +234-1-270 2167 www.standardchartered.com/ng Personal Home Loan Check List Original ID Sighted and Copy Taken (International Passport/Drivers

More information

LOAN TO CORPORATE ENTITY - APPLICATION FORM

LOAN TO CORPORATE ENTITY - APPLICATION FORM (this page also serves as the Enquiry Form) INTRODUCER DETAILS Firm & FCA No: Current CCL No: Email: Date: Network / Mortgage Club: Tel / Mobile: Product Required: PROPERTY DETAILS Full Address Of The

More information

INDIVIDUAL TRADING ACCOUNT APPLICATION FORM AND TERMS & CONDITIONS FOR SECURITIES TRADING

INDIVIDUAL TRADING ACCOUNT APPLICATION FORM AND TERMS & CONDITIONS FOR SECURITIES TRADING AmInvestment Bank Group INDIVIDUAL TRADING ACCOUNT APPLICATION FO AND TES & CONDITIONS FOR SECURITIES TRADING To be completed by AmInvestment Bank Berhad Client Name Account Qualifier CDS Account Number

More information

For the. Bank Negara Malaysia FMAG Project. Practical Interactive Tender. Financial Museum and Art Gallery. Kuala Lumpur, Malaysia TENDER DOCUMENT

For the. Bank Negara Malaysia FMAG Project. Practical Interactive Tender. Financial Museum and Art Gallery. Kuala Lumpur, Malaysia TENDER DOCUMENT Practical Interactive Package TENDER DOCUMENT For the Bank Negara Malaysia FMAG Project Practical Interactive Tender At Financial Museum and Art Gallery Kuala Lumpur, Malaysia CLIENT Bank Negara Malaysia

More information

1. The authorised signatories of *all our accounts/the following account(s) maintained with The Hongkong and Shanghai Banking Corporation

1. The authorised signatories of *all our accounts/the following account(s) maintained with The Hongkong and Shanghai Banking Corporation SGH CMB 139 Effective from 1 November 2013 To: The Manager ( the Bank ) Singapore office Update of authorised signatories for bank accounts Name of company: Registered address: At a meeting of the Directors

More information

EQUITY RELEASE LOAN APPLICATION FORM(Company)

EQUITY RELEASE LOAN APPLICATION FORM(Company) EQUITY RELEASE LOAN APPLICATION FORM(Company) FOR OFFICIAL USE ONLY DATE RECEIVED OFFICER New Application [ ] Top Up [ ] 1. BACKGROUND INFORMATION OF THE COMPANY Company Name Type: Private Public Partnership

More information

Personal Financial Statement (Business Loan)

Personal Financial Statement (Business Loan) Personal Financial Statement (Business Loan) Financial Statement Information as of: This is a statement of: my individual financial condition our joint financial condition trust financial condition only

More information

Trade Finance Application

Trade Finance Application Finance required: Trade Finance: R Security: Are there any other Cession of Book Debts holders? Are there any other General or Special Notarial Bond holders? Yes Yes No No Applicant and contact information:

More information

Tender for the scanning & data capture of archive microfilms Supplier Background Questionnaire

Tender for the scanning & data capture of archive microfilms Supplier Background Questionnaire Tender for the scanning & data capture of archive microfilms Supplier Background Questionnaire 1 of 15 INTRODUCTION This document must be completed in addition to the main tender submission and proposals

More information

SME Business Lending. Application Form

SME Business Lending. Application Form SME Business Lending Application Form Contents Part 1 Part 2 Part 3 Business Details Personal Details Application Details Part 4 (i) Data Protection Notice Part 4 (ii) Credit References Searching and Reporting

More information

BUSINESS CREDIT APPLICATION

BUSINESS CREDIT APPLICATION BUSINESS CREDIT APPLICATION INFORMATION ABOUT THE BUSINESS: Legal Business Name Physical Address City State Zip Type of Organization: Sole Proprietorship Partnership C-Corp S-Corp LLC Other Tax Identification

More information

Consumer Finance Application Form Home Loan

Consumer Finance Application Form Home Loan Consumer Finance Application Form Home Loan Date: / / 20 I/we hereby wish to apply for a loan of NPR (Nepalese Rupees ) under the bank s home loan scheme for a period of months/ years. for the following

More information

Application to Register a Trust Company Under the Trust Companies Act 1949

Application to Register a Trust Company Under the Trust Companies Act 1949 Application to Register a Trust Company Under the Trust Companies Act 1949 Provisions of the Act 1. Section 3 of the Trust Companies Act 1949 stipulates that any public company incorporated in Malaysia

More information

Issues Relating To Organizational Forms And Taxation. MALAYSIA Skrine

Issues Relating To Organizational Forms And Taxation. MALAYSIA Skrine Issues Relating To Organizational Forms And Taxation MALAYSIA Skrine CONTACT INFORMATION Harold Tan Kok Leng Skrine Unit 50-8-1, 8th Floor Wisma UOA Damansara 50 Jalan Dungun Damansara Heights 50490 Kuala

More information

Application for Opening of Share Trading Account CORPORATE

Application for Opening of Share Trading Account CORPORATE SEAGROATT & CAMPBELL SECURITIES SDN BHD (134631-U) (A Participating Organisation Of Bursa Malaysia Securities Bhd) 11 th - 14 th FLOOR, CHULAN TOWER, NO. 3, JALAN CONLAY, 50450 KUALA LUMPUR. Tel 03-2168

More information

INNOVATION FUND Loan Application

INNOVATION FUND Loan Application INNOVATION FUND Loan Application Department of Development 500 E. Main Street, Suite 1500, Norfolk, VA 23510 Phone: (757-664-4338 Fax: 757-441-2910 CREDIT REQUEST Amount Requested: Term Requested (# months):

More information

Part 1 of Schedule 1 of IFSA

Part 1 of Schedule 1 of IFSA Submission Requirements for Application for Approval to Operate a Payment System or to Issue a Designated Payment Instrument or to be Registered to Provide Merchant Acquiring Services A. BACKGROUND With

More information

Solicitors Professional Liability Proposal Form

Solicitors Professional Liability Proposal Form Statement Pursuant to Schedule 9 of the Financial Services Act 2013: The Policyholder is to disclose in this proposal form, fully and faithfully, all the facts which you know or ought to know, which are

More information

Gaming Supplier and Gaming Service Provider BUSINESS DISCLOSURE

Gaming Supplier and Gaming Service Provider BUSINESS DISCLOSURE Gaming Supplier and Gaming Service Provider BUSINESS DISCLOSURE LGA Use Only Please complete each section of this form. If there is insufficient space, attach a separate sheet referring to the section.

More information

PENN STATE FEDERAL BUSINESS LOAN APPLICATION

PENN STATE FEDERAL BUSINESS LOAN APPLICATION PENN STATE FEDERAL BUSINESS LOAN APPLICATION Date: Branch: Office: BUSINESS LOAN APPLICATION CHECKLIST Please be sure to include all of the following so that we may process your application as quickly

More information

ACCOUNT OPENING FORM. CUSTOMER INFORMATION (Please fill in where applicable) Customer Name Registration N BRN: Registration Date

ACCOUNT OPENING FORM. CUSTOMER INFORMATION (Please fill in where applicable) Customer Name Registration N BRN: Registration Date ACCOUNT OPENING FORM Domestic Company Global Business / International Company / Investment Fund Parastatal Body Club / Association Societe / Partnership FOR OFFICE USE ONLY CIF NO. ACCOUNT NUMBER/S CUSTOMER

More information

Business Process Outsourcing/ Call Center Professional Liability

Business Process Outsourcing/ Call Center Professional Liability Statement Pursuant to Schedule 9 of the Financial Services Act 2013: The Policyholder is to disclose in this proposal form, fully and faithfully, all the facts which you know or ought to know, which are

More information

DECIDE METHOD TO OPEN ACCOUNT. - Conventional application (hardcopy) Proceed to STEP 2 - Online application Proceed to STEP 3

DECIDE METHOD TO OPEN ACCOUNT. - Conventional application (hardcopy) Proceed to STEP 2 - Online application Proceed to STEP 3 eunittrust - Quick Start Guide www.eunittrust.com.my How to Open Account? You are required to open a unit trust investment account with Phillip Mutual Bhd (PMB) before you can transact. There are 2 ways

More information

a P P l I C a N T 1 a P P l I C a N T 2 1. Personal Details 2. any Existing loans/credit Cards* Income Gross basic income/net profit

a P P l I C a N T 1 a P P l I C a N T 2 1. Personal Details 2. any Existing loans/credit Cards* Income Gross basic income/net profit Mortgages Gibraltar HomeOwner Loan Application Form Please complete using BlOCK CaPITalS and tick boxes where appropriate. Enclose a current P60(s)/P7(s), last 3 months payslips/3 years accounts and last

More information

SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION

SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION SCHERTZ BANK & TRUST COMMERCIAL LOAN APPLICATION LOAN REQUEST Business Term loan Commercial Line of Credit Commercial Real Estate Amount Requested $ Proposed Collateral and Value: Term/Month Business Legal

More information

business loan and overdraft application

business loan and overdraft application business loan and overdraft application Dnister Ukrainian Credit Co-operative Ltd ABN 59 087 651 394 AFSL / Australian Credit Licence 240673 BSB 704 235 Head Office : 912 Mt Alexander Road, Essendon VIC

More information

STATUTORY DECLARATION

STATUTORY DECLARATION PART A BANKRUPTCY, LITIGATION AND AUTHENTICITY OF DOCUMENTS I, [insert name and identity card/passport number of director], a director of [insert name of applicant company] ([insert company number]), a

More information

SME Business Lending. Application Form Republic of Ireland. www.bankofireland.com/business

SME Business Lending. Application Form Republic of Ireland. www.bankofireland.com/business SME Business Lending Application Form Republic of Ireland www.bankofireland.com/business Bank of Ireland is regulated by the Central Bank of Ireland. CONTENTS PART 1 PART 2 PART 3 PART 4 (i) PART 4 (ii)

More information

Singapore Diamond Investment Exchange Pte Ltd SDiX Depository Pte Ltd Application for Membership -- Approved Supplier

Singapore Diamond Investment Exchange Pte Ltd SDiX Depository Pte Ltd Application for Membership -- Approved Supplier 1 Singapore Diamond Investment Exchange Pte Ltd SDiX Depository Pte Ltd Application for Membership -- Approved Supplier Explanatory Notes 1. This application form is for applicants who intend to apply

More information

Aviva Life Insurance Company Limited

Aviva Life Insurance Company Limited Aviva Life Insurance Company Limited Room 1701, Cityplaza One, 1111 King s Road, Taikoo Shing, Hong Kong Tel: 3550 9600 Fax: 2907 1787 Website: www.aviva.com.hk DEATH CLAIM CLAIMANT S STATEMENT CLAIMS

More information

CLAIM FORM - EQ TRAVEL. Section 1 - Particulars of Insured. Section 2 - Details of Incident/Loss/Illness (must be completed)

CLAIM FORM - EQ TRAVEL. Section 1 - Particulars of Insured. Section 2 - Details of Incident/Loss/Illness (must be completed) CLAIM FORM - EQ TRAVEL Agency: Policy No.: Please note: Sections 1, 2 and 12 must be completed. Sections 3 to 11 complete only the relevant sections. The acceptance of this form is NOT an admission of

More information

GUIDELINES FOR INVESTMENT ADVISERS AND INVESTMENT REPRESENTATIVES UNDER THE SECURITIES INDUSTRY ACT 1983

GUIDELINES FOR INVESTMENT ADVISERS AND INVESTMENT REPRESENTATIVES UNDER THE SECURITIES INDUSTRY ACT 1983 GUIDELINES FOR INVESTMENT ADVISERS AND INVESTMENT REPRESENTATIVES UNDER THE SECURITIES INDUSTRY ACT 1983 Date Issued: 4 March 2004 1 GUIDELINES FOR INVESTMENT ADVISERS AND INVESTMENT REPRESENTATIVES UNDER

More information

GUIDELINES FOR THE ESTABLISHMENT OF FOREIGN FUND MANAGEMENT COMPANIES

GUIDELINES FOR THE ESTABLISHMENT OF FOREIGN FUND MANAGEMENT COMPANIES GUIDELINES FOR THE ESTABLISHMENT OF FOREIGN FUND MANAGEMENT COMPANIES Revised 1 July 2000 Introduction Under the Securities Commission Act 1993, one of the functions of the Securities Commission (SC) is

More information

Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION

Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION This checklist if provided to assist in gathering the necessary information needed for the initial evaluation of your loan request. Complete

More information

MALAYSIA BUILDING SOCIETY BERHAD ("MBSB" OR THE COMPANY")

MALAYSIA BUILDING SOCIETY BERHAD (MBSB OR THE COMPANY) MALAYSIA BUILDING SOCIETY BERHAD ("MBSB" OR THE COMPANY") PROPOSED DISPOSAL OF PROPERTY TO WCT HARTANAH JAYA SDN. BHD., A WHOLLY OWNED SUBSIDIARY OF WCT LAND SDN BHD, WHICH IS IN TURN A WHOLLY OWNED SUBSIDIARY

More information

This booklet explains the role and operations of the Credit Bureau and how you can check your credit information kept at the Credit Bureau.

This booklet explains the role and operations of the Credit Bureau and how you can check your credit information kept at the Credit Bureau. Credit Bureau Introduction When you apply for a loan from a financial institution, it will perform a credit assessment on you. This may involve background checks from various sources including the Credit

More information

Micro-Enterprise Business Lending

Micro-Enterprise Business Lending Micro-Enterprise Business Lending Application Form Thank you for your enquiry in relation to a Microfinance Ireland loan. Please check you are eligible to apply: Your business employs fewer than ten persons

More information

Directors & Officers Liability Insurance for Financial Institutions

Directors & Officers Liability Insurance for Financial Institutions Directors & Officers Liability Insurance for Financial Institutions PROPOsAl FORm Please answer all questions. If you have insufficient space to complete an answer, attach a separate signed and dated sheet

More information

Management Consultants Professional Liability Proposal Form

Management Consultants Professional Liability Proposal Form Statement Pursuant to Schedule 9 of the Financial Services Act 2013: The Policyholder is to disclose in this proposal form, fully and faithfully, all the facts which you know or ought to know, which are

More information

DEBT MANAGEMENT COMPANY LICENSE APPLICATION

DEBT MANAGEMENT COMPANY LICENSE APPLICATION State of Indiana DEPARTMENT OF FINANCIAL INSTITUTIONS 30 South Meridian Street, Suite 300 Indianapolis, Indiana 46204 State Form 50291(R8/10) Approved State Board of Accounts 2001 DEBT MANAGEMENT COMPANY

More information

SECTION 1: APPLICATION CHECKLIST

SECTION 1: APPLICATION CHECKLIST 500 N. Western Avenue Suite 100 Sioux Falls, SD 57104 Telephone 605.367.5353 Fax 605.367.5394 E-Mail: jessica@dakotabusinessfinance.com OR trisha@dakotabusinessfinance.com SECTION 1: APPLICATION CHECKLIST

More information

Company (Sdn Bhd & Bhd) Part Description Page No A B C D E

Company (Sdn Bhd & Bhd) Part Description Page No A B C D E Islamic Bank Application Procedure for Business Account WHAT YOU NEED TO BRING Document Company (Sdn Bhd & Bhd) Soleproprietorship Partnership Limited Liability Partnership Society/Club/ Association Business

More information

BizChannel@CIMB Application Form

BizChannel@CIMB Application Form Version 1.0 (111113) BizChannel@CIMB Application Form Please complete the following checklist before submitting your application: Application form Please complete all sections marked as Mandatory. To be

More information

Home Loan Application

Home Loan Application Home Loan Application How did you hear about our home loan product? Primary Member No. (if applicable) Your Loan Details Joint Member No. (if applicable) On approval of this loan please provide me with

More information

7A Loan Application. Conestoga Bank. Company Information. Company Ownership. Affiliate Businesses. Existing Business Locations. Management Background

7A Loan Application. Conestoga Bank. Company Information. Company Ownership. Affiliate Businesses. Existing Business Locations. Management Background Conestoga Bank 7A Loan Application Company Information Company name Address City State Zip Principal in charge Phone Fax Secondary contact person Phone Fax (IN-HOUSE CONTROLLER OR BOOKEEPER) Type of business

More information

APPLICATION FORM FOR DECREASING TERM TAKAFUL

APPLICATION FORM FOR DECREASING TERM TAKAFUL APPLICATION FORM FOR DECREASING TERM TAKAFUL Etiqa Takaful Berhad ( Etiqa Takaful ) is licensed under the Islamic Financial Services Act 2013 to transact both family and general Takaful business in Malaysia

More information

Business Loan Application

Business Loan Application Patricia Area Community Endeavours A Community Futures Development Corporation BRIGHTER FUTURES FOR BUSINESS AND COMMUNITY Business Loan Application Box 668, 66 Keith Avenue, Unit, Tel: (807) 1-393 Toll

More information

I hereby apply for a Home Loan from your Bank for the purpose outlined below: Name of the applicant

I hereby apply for a Home Loan from your Bank for the purpose outlined below: Name of the applicant ome Loan Application Date: / / The Manager, Nepal Bank Limited, P H O T O Branch I hereby apply for a Home Loan from your Bank for the purpose outlined below: Purchase a plot of Land Purchase a plot of

More information

60 Day Notice Business Savings Account Issue 4-Application Form

60 Day Notice Business Savings Account Issue 4-Application Form 60 Day Notice Business Savings Account Issue 4-Application Form Please complete this form in BLOCK CAPITALS and in ink. Account Number (For bank use only) I/We would like to invest into a 60 Day Notice

More information

Application for Opening of Share Trading Account CORPORATE

Application for Opening of Share Trading Account CORPORATE SEAGROATT & CAMPBELL SECURITIES SDN BHD (134631-U) (A Participating Organisation of Bursa Malaysia Securities Bhd) 11 th - 14 th FLOOR, CHULAN TOWER, NO. 3, JALAN CONLAY, 50450 KUALA LUMPUR. Tel: 03-2168

More information

LOAN APPLICATION FORM FOR MUDRA MSEs

LOAN APPLICATION FORM FOR MUDRA MSEs Page1 -------------------------------------------------------------------------------------------------------------------------------------- LOAN APPLICATION FORM FOR MUDRA MSEs DATE / / CIF To be submitted

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION Each owner, shareholder, partner or member owning 20 percent or more interest in the business must sign a personal guaranty. A minimum of 1 guarantor is required regardless of

More information

HOME LOAN APPLICATION FORM HOME LOANS/FIXED RATE/VARIABLE RATE HOME EQUITY LOANS

HOME LOAN APPLICATION FORM HOME LOANS/FIXED RATE/VARIABLE RATE HOME EQUITY LOANS HOME LOAN APPLICATION FORM HOME LOANS/FIXED RATE/VARIABLE RATE HOME EQUITY LOANS This is an important document. If you have difficulty understanding English, you must use an interpreter to explain it to

More information

DIRECTORS AND OFFICERS LIABILITY INSURANCE INCLUDING CORPORATE INDEMNITY POLICY APPLICATION PROFIT CORPORATIONS

DIRECTORS AND OFFICERS LIABILITY INSURANCE INCLUDING CORPORATE INDEMNITY POLICY APPLICATION PROFIT CORPORATIONS DIRECTORS AND OFFICERS LIABILITY INSURANCE INCLUDING CORPORATE INDEMNITY POLICY APPLICATION PROFIT CORPORATIONS THIS IS AN APPLICATION FOR A CLAIMS MADE POLICY WITH DEFENCE COSTS INCLUDED IN THE LIMIT

More information

Proposal Form for Directors & Officers Liability Insurance

Proposal Form for Directors & Officers Liability Insurance Proposal Form for Directors & Officers Liability Insurance Guidance Notes and Important Notices These TICES apply to this Proposal and any attached Addenda 1. The answers to this form preferably should

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION SECTION A: TYPE OF CREDIT APPLYING FOR Type of Loan Amount Requested Business Line of Credit Primary Purpose of this Loan(s): Equipment Term Loan - Length: Letter of Credit Commercial

More information

SBA 504 Loan Application

SBA 504 Loan Application C CD Business Development Corporation SBA 504 Loan Application Loan Department Office 2455 Maple Leaf PO Box 444 North Bend, OR 97459 (866) 202-5903 (541) 756-4101 Fax: (541) 756-1167 COMPANY INFORMATION

More information

Hong Kong Company Incorporation Form

Hong Kong Company Incorporation Form 1. Company Hong Kong Company Incorporation Form Proposed name of the Company in order of preference: a. b. c. 2. Nature of Business of the Company Brief description of business activities of the Company:

More information

95 Day Notice Business Savings Account Issue 4-Application Form

95 Day Notice Business Savings Account Issue 4-Application Form 95 Day Notice Business Savings Account Issue 4-Application Form Please complete this form in BLOCK CAPITALS and in ink. Account Number (For bank use only) I/We would like to invest into a 95 Day Notice

More information

SME Business Lending. Application Form. www.aib.ie/business

SME Business Lending. Application Form. www.aib.ie/business SME Business Lending Application Form www.aib.ie/business Contents Part 1 Part 2 Part 3 Part 4 (i) Business Details Personal Details Application Details Data Protection Notice Part 4 (ii) Declaration Three

More information

SOLUTION ENGINEERING HOLDINGS BERHAD ( SOLUTION OR THE COMPANY )

SOLUTION ENGINEERING HOLDINGS BERHAD ( SOLUTION OR THE COMPANY ) SOLUTION ENGINEERING HOLDINGS BERHAD ( SOLUTION OR THE COMPANY ) (I) (II) PROPOSED BONUS ISSUE PROPOSED AMENDMENTS 1. INTRODUCTION On behalf of the Board of Directors of Solution ( Board ), OSK Investment

More information

AGENDA. 2. To declare a final dividend of 0.67 sen per share less 25% income tax for the financial year ended 31 December 2009. Ordinary Resolution 2

AGENDA. 2. To declare a final dividend of 0.67 sen per share less 25% income tax for the financial year ended 31 December 2009. Ordinary Resolution 2 NI HSIN RESOURCES BERHAD (653353-W) (Incorporated in Malaysia) Notice of Annual General Meeting NOTICE IS HEREBY GIVEN THAT the Sixth Annual General Meeting of the Company will be held at Perdana Room

More information

EQUITY RELEASE LOAN APPLICATION FORM (INDIVIDUAL)

EQUITY RELEASE LOAN APPLICATION FORM (INDIVIDUAL) EQUITY RELEASE LOAN APPLICATION FORM (INDIVIDUAL) FOR OFFICIAL USE ONLY DATE RECEIVED OFFICER New Application [ ] Top Up [ ] Scheme Loan [ ] 1. BACKGROUND INFORMATION OF THE APPLICANT Title Mr./Ms Full

More information

Commercial Loan Application. The Corporation for Economic Development in Des. Company Information. Company Ownership. Affiliate Businesses

Commercial Loan Application. The Corporation for Economic Development in Des. Company Information. Company Ownership. Affiliate Businesses The Corporation for Economic Development in Des Commercial Loan Application Company Information Company name Address City State Zip Principal in charge Phone ( ) Fax ( ) Secondary contact person Phone

More information

HeveaBoard Berhad (Company No. 275512-A) (Incorporated in Malaysia)

HeveaBoard Berhad (Company No. 275512-A) (Incorporated in Malaysia) NOTES TO THE FINANCIAL STATEMENTS FOR THE PERIOD ENDED 30 JUNE 2009 A. DISCLOSURE REQUIREMENTS AS PER FINANCIAL REPORTING STANDARDS ( FRS ) 134 (FORMERLY KNOWN AS MALAYSIAN ACCOUNTING STANDARDS BOARD (

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION Legal Name (exact legal name) BUSINESS LOAN APPLICATION Each owner, shareholder, partner or member owning 20 percent or more interest in the business must sign a personal guaranty. A minimum of 1 guarantor

More information

Contact details Company phone number Relevant email address Website address Principal Contact Direct Telephone

Contact details Company phone number Relevant email address Website address Principal Contact Direct Telephone CORPORATE ACCOUNT APPLICATION FORM Company Information Full Company: Registration number: Incorporation Registered Address: City Country: Postcode Principal Office (if different to registered address):

More information

Business Credit Application

Business Credit Application Business Credit Application (Please type or print all information. Answers requiring additional space submitted on separate pages.) Firm Name: Firm Address: Firm Telephone: Firm Web Site URL: Email: EIN/Tax

More information

Nature of Your Business. Project Information. Total Project Costs. Nature of your business

Nature of Your Business. Project Information. Total Project Costs. Nature of your business Business Lending Solutions Region IV Development Corporation Loan Application Company Information Company name Address City State Zip Principal in charge Phone ( ) Fax ( ) Secondary contact person Phone

More information

PLEASE RETAIN COPIES OF ALL DOCUMENTS FOR YOUR RECORDS.

PLEASE RETAIN COPIES OF ALL DOCUMENTS FOR YOUR RECORDS. Real Estate / SBA Loan Checklist Ownership Information Completed Credit Application Completed Personal Financial Statement (for each owner) 3 Years Personal Federal Tax Returns (for each owner) Management

More information

BUSINESS CARD APPLICATION FORM COMPANY SECTION BUSINESS CARD APPLICATION FORM EMPLOYEE SECTION. Company Name (legal): Company Name:

BUSINESS CARD APPLICATION FORM COMPANY SECTION BUSINESS CARD APPLICATION FORM EMPLOYEE SECTION. Company Name (legal): Company Name: BUSINESS CARD APPLICATION FORM EMPLOYEE SECTION Company Name: Employee Name: Title (Mr, Ms, Mrs): ID/PP/DP# Country/Date of Birth: Nationality: Sex: Male Female Name on Card: Mailing Address: Telephone

More information

Corporation, a copy of the file stamped Articles or Certificate of Incorporation

Corporation, a copy of the file stamped Articles or Certificate of Incorporation Thank you for choosing Frost for your business credit needs. We are committed to helping you determine the best financing option for your business. To assist us, we ask that you complete and submit the

More information

Name Title # of Years % SS# Name Title # of Years % SS# Name Title # of Years % SS#

Name Title # of Years % SS# Name Title # of Years % SS# Name Title # of Years % SS# BUSINESS LOAN APPLICATION New Relationship Existing Relationship Branch: Drop-down options Officer: BUSINESS INFORMATION Business Name Telephone ( ) Tax I.D. Individual Name(s) Telephone ( ) Social Security

More information

New Business Application Form

New Business Application Form The Specialist Whole of Market Commercial & Business Finance Broker New Business Application Form National Association of Commercial Finance Brokers Association of Bridging Proffessionals 1 Arlington Court,

More information