Credit Application Form.docx

CREDIT APPLICATION FORM Holiday Inn Express Jakarta Matraman

1. Company Details Name in full Address

: .......................................................................................................................... : ......................................................... Company ......................................................... Sole Proprietorship / Partnership ......................................................... Other.................................................. Tel. :......................................................... Fax.......................................................... Email : .......................................................................................................................... Nature of Business:...................................................................................................................... Date of Incorporation: ................................................ Business Registration No: ..................... *** Copy of Company registration certification to be attached *** 2. Bank Reference Name, Branch : .......................................................................................................................... Address : .......................................................................................................................... Country : ........................................................... Tel: .................................................. Account Number: ........................................................ Since: .............................................. 3. Hotel References (1) Name, Location Trading period (2) Name, Location Trading period (3) Name, Location Trading period

: ............................................................................................................ : ............................................................................................................ : ............................................................................................................ : ............................................................................................................ : ............................................................................................................ : ............................................................................................................

4. Credit Card References (1) ...................... (Credit Card)

................ (Issued to)

....................... ................... (Account No.) (Expired)

...................... (Credit Limit)

(2) ...................... (Credit Card)

................ (Issued to)

....................... ................... (Account No.) (Expired)

...................... (Credit Limit)

5. Authorized Personnel (1) Name: ................................................... Signature: ............................................. Designation: ......................................... NRIC / Passport No: ............................ 6. Billing Instruction All Hotel Charges Room / Tax / Services Only

(2) Name: ................................................... Signature: ............................................. Designation: ......................................... NRIC / Passport No: ............................

7. Accounting / Finance Contact Person : ......................................................................................................................... Email : ......................................................................................................................... Telephone : .........................................................................................................................

8. Credit Limit Requested:

IDR................................................................ * Incomplete applications may be delayed in processing or rejected -

I/We confirm that all information given in making this application is true, correct and complete, and hereby authorize the hotel on verify the information with any source the Hotel may consider appropriate. I/We acknowledge that any approved credit facility can only be used subject to the terms and conditions contained herein and I/We agree to be bound by the terms and conditions upon my application being approved. Name : ....................................................... Tittle

: .......................................................

........................................................................ Signature, Date and Stamp

TERMS & CONDITIONS 1. The Granting of credit facility will be entirely at the direction of the Hotel and no reasons may be given for rejection of any application. 2. The approved credit facility is not transferable. 3. All charges incurred are payable to the Hotel on presentation of invoice. The company agrees to pay interest at the rate of 1% per month for all outstanding bills and charges beyond the said period. 4. Legal proceeding may be instituted for failure to settle outstanding invoices, inclusive all cost of collection, legal fees and litigation expenses. 5. The proprietor / partners / directors of the Company agree to assume liability jointly and severally for all debts and charges incurred by the Company. 6. The Hotel reserves the right to review and/or cancel any credit facility form time to time as its absolute discretion.

HOLIDAY INN EXPRESS JAKARTA MATRAMAN HOTEL INTERNAL USE ONLY

Director of Sales Manager Signature: .................................................... Date: ..........................

Chief Accounting Signature: .................................................................. Date: ..........................

Hotel Manager Signature: ....................................................................... Date: ..........................

Full Payment Required : Deposit Required

Yes

No

: IDR..............................................

Approval Credit Limit : IDR...............................................

TERMS: .................. DAYS