CONFIDENTIAL CREDIT APPLICATION

Document Sample
CONFIDENTIAL CREDIT APPLICATION Powered By Docstoc
					        Unit 1, Manfeld Park   Tel: 021 551 5973
        12-14 Dawn Road        Fax: 021 551 5346
        Montague Gardens       E-mail: sales@tnwcape.co.za
        Cape Town              Web: www.tnwcape.co.za




CONFIDENTIAL CREDIT APPLICATION
         PLEASE PRINT CLEARLY IN BLOCK LETTERS



                      Application by


       _____________________________________
           herein referred to as “the Customer”



        to enter into an agreement of trade with




Ravenscoe Trading 145 cc T/A TNW Cape Town
            herein referred to as “the Supplier”
                                                                                                                    PAGE 1




I/We hereby wish to make application for credit facilities. In support of the application the following
particulars are supplied:

                                      BUSINESS CONTACT INFORMATION


FULL REGISTERED NAME OF BUSINESS:________________________________________________________________________________________


TRADING NAME (IF NOT AS ABOVE): ___________________________________________________________________________________________


HOLDING COMPANY(IF APPLICABLE): __________________________________________________________________________________________


COMPANY REGISTRATION NUMBER: ___________________________________________________________________________________________


VAT REGISTRATION NUMBER (PLEASE ATTACH COPY): __________________________________________________________________________


PREVIOUS TRADING/ REGISTERED NAMES:_____________________________________________________________________________________


TYPE OF BUSINESS: ____________________________________ DATE OF COMMENCEMENT OF BUSINESS: ______________________________


REGISTERED COMPANY ADDRESS: ___________________________________________________________________________________________


CITY: __________________________________________________ CODE: _____________________________________________________________


POSTAL ADDRESS: _______________________________________________________________________________CODE: ____________________


___________________________________________________________________________________________________________________________


DELIVERY ADDRESS (IF NOT THE SAME AS REGISTERED ADDRESS)_______________________________________________________________


TELEPHONE NUMBER: _____________________ FAX NUMBER: _________________________ E-MAIL: ___________________________________


NAME OF PERSON RESPONSIBLE FOR PLACING ORDERS: _______________________________________________________________________


POSITION: ____________________________________________________TELEPHONE NUMBER: _________________________________________


PERSON RESPONSIBLE FOR PAYING ACCOUNTS: _______________________________________________________________________________


POSITION: ____________________________________________________TELEPHONE NUMBER: _________________________________________


ARE CUSTOMER’S ORDER NUMBERS REQUIRED: _______________________________________________________________________________




PAGE 1 CONT                                                                                             INITIAL
                                                                                                                   PAGE 2



                                             GENERAL INFORMATION


ARE THE BUSINESS PREMISES OWNED BY THE CUSTOMER? ( MARK WITH A X):___________RENTED?__________LEASED?________________


IF RENTED OR LEASED, PLEASE FURNISH THE FOLLOWING DETAILS OF THE LANDLORD:

NAME: _____________________________________________________________________________________________________________________


POSTAL ADDRESS: __________________________________________________________________________________________________________


TOWN/ CITY: _____________________________________________________POSTAL CODE: _____________________________________________


TELEPHONE NUMBER: _____________________________________________FAX NUMBER: _____________________________________________




                                    CREDIT AND BANKING INFORMATION


ACCOUNTS ARE PAID BY(MARK WITH A X) : CHEQUE___________ELECTRONIC FUNDS TRANSFER___________OR OTHER MEANS__________


MAXIMUM CREDIT REQUIRED: PER MONTH R____________________________________CREDIT LIMIT:___________________________________


NAME THAT APPEARS ON YOUR BANK ACCOUNT: ______________________________________________________________________________


BANK NAME: _____________________________________________ ACCOUNT NUMBER:________________________________________________


BANK CODE:______________________________________________EFT CODE:________________________________________________________


HAS THE BUSINESS OR ANY OF IT’S PRINCIPALS HAD ANY JUDGEMENT AGAINST THEM?____________IF YES LIST SEPERATELY.


HAS THE BUSINESS OR ANY OF IT’S PRINCIPALS BEEN LIQUIDATED OR SEQUESTRATED?___________IF YES LIST SEPERATELY.


HAVE MORATORIUMS OR OFFERS OF COMPROMISE EVER BEEN MADE TO ANY CREDITORS?________IF YES LIST SEPERATELY.


PLEASE LIST ALL FACTORING, SECURITIES, SURETIES, CESSION OF DEBTORS, MORATORIUMS, NOTARIAL BONDS AND PERSONAL
GUARANTEES SEPERATELY.


PLEASE LIST SECURITIES OFFERED TO SUPPORT THIS CREDIT APPLICATION: _____________________________________________________


__________________________________________________________________________________________________________________________




                    AUDITOR, ACCOUNTING OFFICER OR ACCOUNTANT DETAILS

NAME:___________________________________TELEPHONE NUMBER: _________________________FAX NUMBER: ________________________


ADDRESS: _________________________________________________________________________________________________________________


ARE AUDITED FINANCIAL STATEMENTS AVAILABLE? (MARK WITH A X) YES___________NO __________




PAGE 2 CONT                                                                                            INITIAL
                                                                                                                  PAGE 3



                                               TRADE REFERENCES


(TO BE SUPPLIERS OF GOODS AND SERVICE EXCLUDING CONTRACTS, RENTALS, LEASES ETC, FOR A MINIMUM OF SIX MONTHS)


1. COMPANY NAME:__________________________________________________TELEPHONE NUMBER: ___________________________________


AVERAGE MONTHLY PURCHASES: R_______________________TERMS: ___________________CREDIT LIMIT: ____________________________


2. COMPANY NAME:__________________________________________________TELEPHONE NUMBER: ___________________________________


AVERAGE MONTHLY PURCHASES: R_______________________TERMS: ___________________CREDIT LIMIT: ____________________________


3. COMPANY NAME:__________________________________________________TELEPHONE NUMBER: __________________________________


AVERAGE MONTHLY PURCHASES: R_______________________TERMS: ___________________CREDIT LIMIT: ____________________________




         FULL DETAILS OF DIRECTORS / MEMBERS / SHAREHOLDERS / PROPRIETORS /
                                      TRUSTESS


1. FULL NAME: ____________________________________________________________ID NUMBER: _______________________________________


RESIDENTIAL ADDRESS: _____________________________________________________________________________________________________


___________________________________CODE: __________________      % SHAREHOLDING / INTEREST: ______________________________



2. FULL NAME: ____________________________________________________________ID NUMBER: _______________________________________


RESIDENTIAL ADDRESS: _____________________________________________________________________________________________________


___________________________________CODE: __________________      % SHAREHOLDING / INTEREST: ______________________________



3. FULL NAME: ____________________________________________________________ID NUMBER: _______________________________________


RESIDENTIAL ADDRESS: _____________________________________________________________________________________________________


___________________________________CODE: __________________      % SHAREHOLDING / INTEREST: ______________________________




4. FULL NAME: ____________________________________________________________ID NUMBER: _______________________________________


RESIDENTIAL ADDRESS: _____________________________________________________________________________________________________


___________________________________CODE: __________________      % SHAREHOLDING / INTEREST: ______________________________




CONT ON PAGE 3                                                                                     INITIAL
                                                                                                                 PAGE 4



                                                                 SURETYSHIP




 I/WE THE UNDERSIGNED,




 ____________________________________             ID# __________________________
 (Hereinafter referred to as “the First Surety)


 AND



 ____________________________________ ID# __________________________
 (Hereinafter referred to as “the Second Surety)


 AND



 ____________________________________             ID# __________________________
 (Hereinafter referred to as “the Third Surety)


  DO HEREBY BIND MYSELF/OURSELVES, UNDER RENUNCIATION OF THE BENEFITS OF THE LEAGAL EXCEPTIONS OF “EXCUSSION” AND
 “DIVISION”, AS SURETY/IES AND CO-PRINCIPAL DEBTOR/S IN SOLIDUM TO TNW (HEREINAFTER REFERRED TO AS “THE CREDITOR” FOR
 THE PAYMENT ON DEMAND OF ALL SUMS OF MONEY WHICH THE ABOVEMENTIONED APPLICANT, NAMELY


 (HEREAFTER RFERRED TO AS “THE DEBTOR”) MAY NOW AND FROM TIME TO TIME HEREAFTER OWE OR BECOME INDEBTED UNTO THE
              CREDITOR IN RESPECT OF GOODS SOLD AND DELIVERED BY THE CREDITOR TO THE DEBTOR.




       SIGNED AT _______________________ ON THIS ________ DAY OF ____________20___




       _________________________________                          __________________________________

       AS SURETY AND CO-PRINCIPAL DEBTOR                          AS SURETY AND CO-PRINCIPAL DEBTOR

       FIRST SURETY                                               SECOND SURETY




       _________________________________

       AS SURETY AND CO-PRINCIPAL DEBTOR

       THIRD SURETY




CONT ON PAGE 4                                                                                         INITIAL
                                                                                                                PAGE 5



                                      TERMS AND CONDITIONS OF SALE


   1.    THE CUSTOMER AGREES THAT, (A) THIS CONTRACT REPRESENTS THE ENTIRE AGREEMENT BETWEEN THE PARTIES AND THAT
         NO ALTERATIONS OR ADDITIONS TO THIS CONTRACT MAY BE EFFECTED UNLESS AGREED TO BY BOTH PARTIES AND REDUCED
         TO WRITING AND SIGNED BY BOTH PARTIES, (B) THAT THIS AGREEMENT WILL GOVERN ALL FUTURE CONTRACTUAL
         RELATIONSHIPS BETWEEN THE PARTIES, (C) IS APPLICABLE TO ALL EXISTING DEBTS BETWEEN THE PARTIES.
   2.    THE CUSTOMER HEREBY ACKNOWLEDGES THAT HE HAS READ AND UNDERSTOOD EACH TERM OF THIS AGREEMENT AND
         ACCEPTS THEM AS BINDING.
   3.    THE CUSTOMER WARRANTS THAT THE SIGNATORY ON PAGE 5 HAS DULY AUTHORISED TO CONTRACT ON IT’S BEHALF.
   4.    SHOULD THE CUSTOMER CANCEL ANY WRITTEN OR ORAL ORDER, THE CUSTOMER SHALL BE LIABLE FOR 10% OF THE SELLING
         PRICE OF ITEMS IN STOCK BY THE SUPPLIER AND FOR FULL PRICE NON-STOCK ITEMS.
   5.    ORDERS WILL BE DELIVERED WHEN POSSIBLE TO THE CUSTOMER IF THE INVOICE AMOUNT IS OVER R1000.00. DELIVERY OUT OF
         THE AREA WILL BE DELIVERED BY CARRIER FOR, WHICH THE CUSTOMER ACCEPTS LIABILITY BASED ON THE CARRIERS
         SIGNATURE.
   6.    THE SUPPLIER WARRANTS THAT THE PRODUCTS ARE FIT FOR GENERAL PURPOSE FOR WHICH THEY ARE SOLD AND
         GUARENTEES THE PRODUCTS AGAINST FAULTY WORKMANSHIP OR MATERIALS. UNDER NO CIRCUMSTANCES WILL THE
         SUPPLIER BE LIABLE FOR DAMAGE ARISING FROM THE MISUSE OF THE PRODUCT.
   7.    THE CUSTOMER IS RESPONSIBLE FOR RETURNING FAULTY GOODS AT HIS OWN COST TO THE SUPPLIER. UNDER NO
         CIRCUMSTANCES WILL THE SUPPLIER BE LIABLE FOR CONSEQUENTIAL DAMAGES.
   8.    THE CUSTOMER HAS NO RIGHT TO WITHHOLD PAYMENT, EXCEPT ON SHORT DELIVERIES.
   9.    IN CASE OF SPLIT DELIVERIES, PAYMENT IS DUE WITH THE FIRST DELIVERY AND THE CUSTOMER SHALL NOT BE ENTITLED TO
         CANCEL THE SUBSEQUENT DELIVERIES DUE TO LATE DELIVERY.
   10.   THE CUSTOMER AGREES TO PAY THE AMOUNT ON 30 DAYS FROM STATEMENT. A SETTLEMENT DISCOUNT OF 2.5% WILL BE
         GIVEN ON EARLY PAYMENT.
   11.   THE CUSTOMER AGREES THAT INTEREST ON ANY MONIES OVERDUE TO THE SUPPLIER SHALL BE PRIME PLUS 2% PER ANNUM
         AND SUBJECT TO THE MAXIMUN LEGAL RATEPRESCRIBED BY LAW.
   12.   THE CUSTOMER AGREES THAT IF AN ACCOUNT IS NOT SETTLED WITHIN 30 DAYS FROM STATEMENT, THE SUPPLIER IS (A)
         AUTHORIZED IMMEDIATELY AND IRREVOCABLE CONSENT TO JUDGEMENT HEREIN, OR (B) TO CANCEL THE AGREEMENT AND
         TAKE POSSESSION OF ANY GOODS DELIVERED TO THE CUSTOMER.
   13.   ALL GOODS SUPPLIED BY THE SUPPLIER Y REMAINS THE PROPERTY OF THE SUPPLIER UNTIL THOSE GOODS HAVE BEEN FULLY
         PAID FOR. THE CUSTOMER IS NOT ENTITLED TO SELL ANY UNPAID GOODS WITHOUT PRIOR WRITTEN CONSENT OF THE
         SUPPLIER.
   14.   THE CUSTOMER AGREES THAT NEITHER THE SUPPLIER NOR ANY OF IT’S EMPLOYEES WILL BE LIABLE FOR ANY NEGLIGENT OR
         INNOCENT MISREPRESENTATIONS MADE TO THE CUSTOMER.
   15.   THE SUPPLIER SHALL HAVE THE RIGHT TO INSTITUTE ANY ACTION IN EITHER THE MAGISTRATES COURT OR THE SUPREME
         COURT AT IT’S SOLE DIRECTION.
   16.   ALL QUOTES WILL REMAIN VALID FOR 7 DAYS ONLY IF NOT STATED OTHERWISE ON THE QUOTE.




I/WE THE UNDERSIGNED HEREBY:

i) ACCEPT THAT I/WE SHALL BE RESPONSIBLE FOR ALL COSTS (INCLUDING ATTORNEYS AND CLIENT FEES WHERE APPLICABLE) INVOLVED
IN THE RECOVERY ON ANY OVERDUE AMOUNT OWED BY ME/US AND SHALL PAY INTEREST CHARGED ON THE SAME AS PIME BANK RATE.
ii) WARRANT THAT I/WE AM/ARE DULY AUTHORIZED BY THE DEBTOR TO MAKE THIS APPLICATION ON ITS BEHALF AND THAT THE ABOVE
INFORMATION IS TRUE AND CORRECT.
iii) AGREE THAT I/WE HAVE READ AND UNDERSTOOD THE TERMS AND CONDITIONS OF SALE (AS ABOVE) AND AGREE TO BE BOUND BY
THEM.
iiiv) AGREE THAT THE TERMS AND CONDITIONS OF THIS ACCOUNT WILL BE IN ACCORDANCE WITH THE NETWORKING WAREHOUSE CAPE
TOWN’S TERMS AND CONDITIONS OF SALE.
v) ACKNOWLEDGE AND AGREE THAT BY MY/OUR SIGNATURES HERETO I/WE BIND MYSELF/OURSELVES AS SURETY AND CO-PRINCIPAL
DEBTOR UNTO AND IN FAVOUR OF THE CREDITOR FOR THE DUE PAYMENT BY THE DEBTOR OF LL AMOUNTS WHICH MAY NOW OR AT ANY
TIME HEREAFTER BECOME PAYABLE BY THE DEBTOR TO THE CREDITOR IN TERMS OF THE CONDITIONS ATTACHED.
vi) AGREE THAT PAYMENT IS DUE 30 DAYS FROM STATEMENT




SIGNATURE……………………..             DATE………………… WITNESS…………………..


SIGNATURE……………………..             DATE………………… WITNESS…………………..


SIGNATURE……………………..             DATE………………… WITNESS…………………...

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:11/15/2011
language:English
pages:6