Loan Application Form_english Version
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PROJET FUNDING LOAN APPLICATION FORM (PLEASE COMPLETE WHERE APPLICABLE, IN BLACK INK)
Business Name: Head Office:
n° …. …………. Avenue ......Postal code...... …City……. ………Country……….
Registration N°: Country and city of registration:
………Country……….- …City……..
Business Telephone N°:
00
Business Fax N°:
00
E-Mail Address:
info@....... It is not acceptable
Legal Representative: Position:
Managing Director
Country and City:
………Country………. – …City………..
Address:
n° …. …………. Avenue ......Postal code...... …City……. ………Country……….
Business Telephone N°:
00
E-Mail Address:
info@....... It is not acceptable
AMOUNT REQUESTED
Loan Amount (Euro or USD) : Financial capability (.. %) (Euro or USD) :
Current Bank Name: Branche: IBAN: Address:
……name…. Bank ..................... …International Bank Account Number.... n° ………… Avenue ……City ……. ………Country……….
Nature of Business: (In few words)
Location (City / Country)
………City…….. , ………Country……….
Starting date (Works) Duration (Works) Running Date (Activity) Budget projections (at the start) Operating profit (projected) Profit before Tax (Projected)
Signature Name: Title : Managing Director
Date : …Month…….. 00th , 2008
Please join: the Registration Deed of your company Colour Photocopy of the passport of the Managing Director of Company
Business Name: Head Office:
n° …. …………. Avenue ......Postal code...... …City……. ………Country……….
Registration N°: Country and city of registration:
………Country……….- …City……..
Business Telephone N°:
00
Business Fax N°:
00
E-Mail Address:
info@....... It is not acceptable
Legal Representative: Position:
Managing Director
Country and City:
………Country………. – …City………..
Address:
n° …. …………. Avenue ......Postal code...... …City……. ………Country……….
Business Telephone N°:
00
E-Mail Address:
info@....... It is not acceptable
AMOUNT REQUESTED
Loan Amount (Euro or USD) : Financial capability (.. %) (Euro or USD) :
Current Bank Name: Branche: IBAN: Address:
……name…. Bank ..................... …International Bank Account Number.... n° ………… Avenue ……City ……. ………Country……….
Nature of Business: (In few words)
Location (City / Country)
………City…….. , ………Country……….
Starting date (Works) Duration (Works) Running Date (Activity) Budget projections (at the start) Operating profit (projected) Profit before Tax (Projected)
Signature Name: Title : Managing Director
Date : …Month…….. 00th , 2008
Please join: the Registration Deed of your company Colour Photocopy of the passport of the Managing Director of Company
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