EURO TRUST INVESTMENT GROUP LTD Aplication Form 1

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EURO TRUST INVESTMENT GROUP LTD Aplication Form 1 Powered By Docstoc
					                               NORTON FINANCE GROUP LIMITED
                               PERSONAL LOAN APPLICATION


 Date:                                                         Agent Name:
                                               APPLICANT INFORMATION
Full Name:
Date of birth:                             Passport No:                Nationality:
Current Home address:
City:                                      State:                      Post Code:
Phone Number:                              Mobile Number:              How long in business
Email address:                                                         Web Site:

                                                COMPANY INFORMATION
Company Name:
Company address:                                                       How long established
City:                           State:                                 Post Code:
Phone                                      Email:                      Fax Number:
□ EXISTING or □ START UP business        (Please check one)            Total Employees:
Nature of the business:
Company Registration Number:
Country of Registration:
Company Paid in Capital:
Total Shares Issued:
Name of a relative not residing with you:

                                                    LOAN REQUEST DETAILS
Loan Amount Required:                                                  √ Select Currency          USD or          POUNDS
Loan Term: …………………….(Max 12 years)                                     Grace Period: ……………….. months
                                            LEGAL REPRESENTATIVE DETAILS
Law Firm Name:
Complete Address:
Lawyers Name                                                           Lawyers Phone Number:
                                                COMPANYS BANK DETAILS
Bank Name:
Bank Officers Name
Bank address:
City:                                      State:                      Post Code:
Account Number                                                         Bank Swift Code

                                             SHAREHOLDER INFORMATION

             Directors Name                              Shares Held                       Personal Net Worth Value




                                                              1
                             NORTON FINANCE GROUP LIMITED
                               PERSONAL LOAN APPLICATION

 Date:                                                       Broker Name:
                                        CORPORATE ASSETS AND LIABILITIES


               Description                               Assets                                 Liabilities
Cash in Banks
Plant, Machinery, Auto, Real Estate
Other Assets
Bank Loans Payable
Shareholders Loans
Other Liabilities


Totals in Each Column


          I authorize NORTON FINANCE GROUP LIMITED. To verify the information provided on this form



 Signature of applicant                                                                           Date




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