Credit Facilities Application Form Please Compl by frd14751

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									                                                                           Credit Facilities Application Form




                                                                     Please Complete this Application Form and Fax to: +971 4 3555358
                                      Company Name
      Company Information




                                   Company Address
                              P.O.Box / City / Country     P.O.Box                     City                                          Country
                                                Location

                            Trade License / Commercial
                                                                                                                                                          (Please attach a copy)
                                     Reg. No.
                                       Date of Issue                                                             Date of Expiry
                             Main Telephone Number                                                            Main Fax Number
                                        Email Address                                                                 Web Address

                                     Name of Sponsor
Sponsor / Proprietor /




                                   Sponsor Address
                              P.O.Box / City / Country     P.O.Box                     City                                          Country
   Partner Details




                                              Occupation


                                Proprietor/Partner                                    Name                                                                    Nationality
                                        (1)
                                        (2)
                                        (3)
                                                                                              (Please attach Passport photocopies)

                                   Name of Authorised                                                   Nationality                  Specimen Signature
Signatories




                                          Signatory 1
  Cheque




                                   Name of Authorised                                                   Nationality                  Specimen Signature
                                          Signatory 2
                                   Name of Authorised                                                   Nationality                  Specimen Signature
                                          Signatory 3
                                                                                        (Please attach Power of Attorney where required)

                            Purchasing Contact Name                                                                                  Specimen Signature
Purchasing / Accounts




                                                   Title                                                          Email Address
                            Limit per LPO if applicable
                                    Telephone Number                                                                   Fax Number
      Contacts




                              Accounts Contact Name
                                                Title                                                             Email Address
                                  Telephone Number                                                                 Fax Number


                                    Invoice Address
                              P.O.Box / City / Country     P.O.Box                     City                                          Country
                                      Company Name


                                   Company Address
                              P.O.Box / City / Country
                                                           P.O.Box                     City                                          Country

                                   Telephone Number                                                                    Fax Number

                                        Email Address                                                                 Web Address
      Business References




                                      Company Name

                                   Company Address
                              P.O.Box / City / Country
                                                           P.O.Box                     City                                          Country
                                   Telephone Number                                                                    Fax Number

                                        Email Address                                                                 Web Address


                                      Company Name

                                   Company Address
                              P.O.Box / City / Country     P.O.Box                     City                                          Country
                                   Telephone Number                                                                    Fax Number

                                        Email Address                                                                 Web Address
                                                                                                 Credit Facilities Application Form




                                                                   Bank Name                                                              Contact Name

                                                              Bank Address
                                                     P.O.Box / City / Country
                                                                                P.O.Box                       City                                       Country

                                                          Telephone Number                                                                 Fax Number
Financial Information




                                                               Account Number


                                                                   Bank Name                                                              Contact Name

                                                              Bank Address
                                                     P.O.Box / City / Country   P.O.Box                       City                                       Country
                                                          Telephone Number                                                                 Fax Number

                                                               Account Number

                                                                   Bank Name                                                              Contact Name
                                                              Bank Address
                                                     P.O.Box / City / Country   P.O.Box                       City                                       Country
                                                          Telephone Number                                                                 Fax Number

                                                               Account Number


                                                                                qValue added reseller qRetail outlet qOther _______________________
Business Clasification




                                                           Type of Business


                                                       Date business started                                                 Facilities                               qOwned               qLeased
                                                                           EXPECTED ANNUAL TURNOVER WITH BDL GULF FZCo (Million AED)

                                                                                                                CREDIT LIMIT REQUESTED (AED)

                                                                                                           CREDIT PERIOD REQUESTED IN DAYS


                                                   I/We hereby apply for a trade credit facility from BDL GULF FZCo. Notwithstanding any discussions to the contrary I/we understand that the
                                                   submission of this application form in no way guarantees that BDL GULF FZCo will make credit facilities available to us, which would be at the sole
                                                   discretion of BDL GULF FZCo. I/We agree to accept the amount and period of credit extended by BDL GULF FZCo and understand that the facility will be
                                                   subject to terms and conditions that may be imposed by BDL GULF FZCo from time to time.
                                                   I/We hereby authorize you to take up references with our bankers and with any one or more of the parties listed in the 'Business References'
                                                   Section.
Undertaking




                                                   I/We understand that subsequent to the granting of credit facilities, BDL GULF FZCo has the right to discontinue or reduce the facilities extended
                                                   without attributing any reasons therefor and agree to settle all outstanding amounts within the specified period irrespective of whether or not the
                                                   facility continues to be available for future transactions.
                                                   In case of delay in payment other than the aggreed terms, Interest shall be charged @ 1% per month.
                                                                                                                                Date                                          Company Seal
                                                   Signature


                                                   Name

                                                   Designation


                                                   q    1. Trade License                                       q     6. Copy of Power of Attorney of the Manager or MOA in case of LLC companies.
                         Check List of documents




                                                   q    2. Commercial Registration Certificate                 q     7. Latest Audited Financial Statements


                                                   q    3. Chamber of Commerce Certificate                     q     8. Company Profile / Brochure


                                                   q    4. Certificate From Bank for Authorize Signature
                                                                                                               q    8. For Non UAE countries, documents required as per the law of the country - BDM to check &
                                                                                                               decide.


                                                   q   5. Passport photocopies of T/L holder & all
                                                   authorised persons per CFAF
                                                 Credit Facilities Application Form




                                            BDL GULF FZCo Internal Use Only
TERMS OF PAYMENT:                 CASH      /    CREDIT -DAYS     -----------   /    CDC     /    PDC


PROPOSED CREDIT LIMIT: ________________________           B/G AMOUNT:_________________


 DEALER          RETAILER             CASH DEALINGS DONE:-  Yes /  No                    If yes Value_________________


If No the Reason:-


ORGANIZATION DETAILS:                                     PROPRITOR:  LOCAL  EXPAT          -  MULTI NATIONAL    LLC




YEAR OF ESTABLISMENT:       ____________                  NUMBER OF EMPLOYEES:_________________


Sales Person Detail : IPG.________ PSG. _______ ESG._______ UPS________ TCM. _______ Owner_______

COMMENTS / REMARKS / REFERENCE by CM/BDM




                                                      FOR OPERATION DEPARTMENT
DEALER CODE :                                             BANK CODE (UPS) : ABP                FGB         MSB


APPROVED LIMIT______________________



CM/BDM                         Credit Controler Manager   Sales & Marketing Director                               General Manager

                          CL
DATE:-_______________________ Increase/ CL Decrease                                             Reasons:-

								
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