Credit Facilities

APPLICATION FOR CREDIT FACILITIES

FULL REGISTERED NAME OF COMPANY:
BUSINESS REGISTRATION NUMBER:
VAT REGISTRATION NUMBER:
TRADE NAME/S OF BUSINESS:
NATURE OF BUSINESS:
DATE BUSINESS ESTABLISHED:
EMAIL ADDRESS:
TYPE OF BUSINESS:

REGISTERED ADDRESS OF BUSINESS:




CODE:

PHYSICAL / DELIVERY ADDRESS OF BUSINESS:




CODE:

POSTAL ADDRESS OF BUSINESS:



CODE:
TELEPHONE NO:
FAX NO:
TELEX:

NAMES & ADDRESSES OF DIRECTORS/MEMBERS/PARTNERS/PROPRIETORS:

FULL NAMES

1.

RESIDENTIAL ADDRESS



ID NO./DATE OF BIRT

2.


3.


4.


PREVIOUS NAME OF BUSINESS:
NAME OF HOLDING COMPANY:

NAME OF SUBSIDIARY AND ASSOCIATE COMPANIES:
1.
2.
PREMISES:
NAME OF LANDLORD IF RENTED:
ESTIMATED CREDIT REQUIRED:
BANKERS:
ACCOUNT NO:
DATE OPENED:

TRADE REFERENCES (PLEASE SUPPLY):

NAME

1.

ADDRESS



TELEPHONE NO.

2.


3.


I/We certify that the information given is true and correct. We agree to the terms and conditions set out
Duly authorised signatory:
Designation:
Email:
Date:
"SURETYSHIP:
I, THE ABOVE SIGNATORY, DO HEREBY BIND MYSELF AS SURETY AND CO-PRINCIPAL DEBTOR WITH THE CUSTOMER FOR THE DEBTS AND OBLIGATIONS OF THE CUSTOMER TO FORMS-ELITE & LABELS C.C.. I RENOUNCE THE BENEFITS OF DIVISION AND EXCLUSION.

SIGN: