Form No. 144 EXPORT CREDIT GUARANTEE CREDIT LIMIT APPLICATION CORPORATION OF INDIA LIMITED (A GOVT. OF INDIA ENTERPRISE) This application has to be submitted to the nearest branch office of the corporation. (A) THIS APPLICATION SHOULD BE FORWARDED TO THE NEAREST OFFICE OF THE CORPORATION ALONGWITH THE FEE OF RS 500/-. 1. Name of the Policy holder _____________________Phone No._________ Address ___________________________________ Fax No. __________ ___________________________________________________________ 2. Policy No. __________________ Maximum Liability Rs. _____________ Policy period from _________________ To _______________ 3. Name of the buyer : __________________________________ Address __________________________________ Country _________ _____________________________________________________ 4. Name of the buyer's bankers : __________________________________ Address ___________________________________________________ Buyer's bank account No. if available : _______________________ Fax No.________ (Our sources are unable to furnish credit report in the absence of the name and address of the banker's banker) 5. Description of Goods _________________________________________ 6. Details of contracts on hand: Amount Rs. _________ Terms of Payment ___________ 7. Shipping Schedule __________________Month _________ Value of Shipment (Rs) ________________ 8. If there are no contracts on hand, what is your anticipation of business : Rs.___________ 9. Credit Limit sought : Amount Rs. _________________ Terms of Payment ________________ 10. Your experience with the buyer for the last two years No Date of Value (in Terms of Date of Shipment Rupees) Realization Reason for delay/ over payment due, if any 6 1 2 3 4 5 11. Whether the buyer is associated/ related to you? Is the buyer or any partners/ directors related to you? Have you any interest in the capital/ management of the concern/ Company? 12. Have you made any enquiries regarding the financial standing and credit worthiness of the buyer? If, so, please give your views in this regard. 13. Our Cheque No. ________ Dated _______ For Rs. _________ enclosed. Date _________ Signature of the Policy holder ____________ (B) NOTE a) No Fee is payable for limits upto Rs. Fifteen Lakhs provided you furnish a bank report alongwith this application. (ORIGINAL OR CERTIFIED BY BANK) INSTRUCTIONS 1. Fill in all columns of the application in a legible hand or if possible, send in typewritten. 2. Attach wherever possible a bank report in original to your application. 3. Mention the name and address of the buyer in the caption with reference number and write separate letter in respect of each of your overseas buyer in all your future correspondence concerning the credit limit applications. 4. Terms of payment means DP/CAD/DA/Open Delivery, Please specify the terms of payments with period clearly. FOR USE IN BRANCH OFFICE ONLY 1. Receipt No. ___________ Date ___________ Amount Rs. ____________ 2. a. Policy is not in force/ yet to be issued. b. Declaration position is not up-to-date. c. ML is inadequate. d. Fee is not received. Date _________ For Branch Manager INFORMATION OF THE BUYER (ATTACH FINANCIAL STATEMENTS/BALANCE-SHEET, IF AVAILABLE) 1. AGE OF THE BUSINESS _________________________________ Since when the buyer is in business _____________________________ Since when the buyer is in import business _______________________ Since when the buyer is dealing with the policy holder _________________ 2. STATUS OF THE BUYER : Sole Proprietor/ Partnership/ Limited Company Government Company/ Government Department/ Others 3. Lines of Business indicating the product dealt with _______________ Nature of Business ___________ Wholesaler / Retailer / Departmental Store / Manufacturer 4. Capital employed ________________________ Annual Turnover ____________________________________ (If exact figures are not available, please provide an approximate estimate) 5. SISTER CONCERN/PARENT BODIES OF THE BUYER : ____________________ 6. COUNTRIES FROM WHICH BUYER IS IMPORTING : ____________________ 7. OTHER EXPORTS IN INDIA DEALING WITH THIS BUYER: ____________________ 8. DETAILS COLLECTED ON BUSINESS DEALING OF THE BUYER DURING PERSONAL VISITS ABROAD / OTHER : _____________________ INFORMATION, IF ANY : _____________________ Registered Office:EXPRESS TOWERS,10TH FLOOR,P.O. BOX 11 75. NARIMAN POINT,MUMBAI - 400 021, INDIA. Telephone : 282 5452,284 5463,284 5471,284 5472,202 3263,204 5231,Telex : 011-83231 Cable : INDERIC Fax : (022) 202 3267,204 5253.
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