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BUSINESS FINANCE APPLICATION
BUSINESS DETAILS  
   
COMPANY NAME
DATE ESTABLISHED
TELEPHONE NUMBER
FAX NO
REGISTRATION NO.
PHYSICAL ADDRESS
E-MAIL ADDRESS
POSTAL ADDRESS
POST CODE
NATURE OF BUSINESS
CONTACT PERSON
CEL NO
   
SHAREHOLDER DETAILS  
 
NAME
CAPACITY
SHAREHOLDING %
DIRECTORS/SHAREHOLDERS/
MEMBERS/PARTNERS NAMES
HOLDING/ASSOCIATE/SUBSIDIARY
   
BANKING DETAILS  
BUSINESS BANKERS
BRANCH
A/C NO
OVERDRAFT FACILITY
HOW SECURED?
   
LONG TERM BORROWINGS  
BANK
GOODS FINANCED
     OUTSTANDING BALANCE
   
DETAILS OF GOODS PURCHASED  
DESCRIPTION OF GOODS
SUPPLIER
CASH PRICE 
DEPOSIT
PERIOD
FINANCING OPTION
                     

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