SMALL AND MEDIUM BUSINESS FOREX CUSTOMER APPLICATION FORM
1. | Indicate the type of entity being registered | {{opt_one.application.data.finalData[0].company_type}} | ||||||
2. | Does the applicant (entity) participate in this program or any other EXIMBANK Forex programs | {{opt_one.application.data.finalData[0].participate}} | ||||||
3. | Has your business been registered and in operation for more than 12 months? | {{opt_one.application.data.finalData[0].operations_12_months}} | ||||||
4. | Please indicate if your entity provides any of the following services (select all that apply) | {{opt_one.application.data.finalData[0].services_provided}} | ||||||
Date {{opt_one.application.data.finalData[0].application_date.formatDate('dddd, dd MMMM yyyy')}} |
||||||||
Business Name {{opt_one.application.data.finalData[0].business_name}} |
Business Registration Date {{opt_one.application.data.finalData[0].bus_reg_date}} |
|||||||
Physical Address of Business {{opt_one.application.data.finalData[0].bus_address}} |
||||||||
Telephone Number {{opt_one.application.data.finalData[0].tel_no}} |
Email Address of Contact {{opt_one.application.data.finalData[0].email}} |
|||||||
SECTION A - ENTITY DETAILS |
||||||||
1. |
Provide details of the facilities requested. Requested Monthly USD Requirement* |
{{opt_one.application.data.finalData[0].monthly_usd.toNumber().formatCurrency('$', '.', ',', 2)}} | ||||||
*Please note that the requested amount is not guaranteed to be approved as the facility is on a basis of immediate needs and scoring based on various attributes. |
||||||||
2. |
What sector is your company in? |
{{opt_one.application.data.finalData[0].company_sector}} | ||||||
{{company_name}} |
{{facility_type}} | |||||||
3. |
Number of employees |
{{opt_one.application.data.finalData[0].number_of_employees}} | ||||||
4. |
12 Month Sales from Bank Statements |
|||||||
Month |
Sale deposit as per bank statement in TTD | |||||||
{{month}} |
{{sale_deposit.toNumber().formatCurrency('$', '.', ',', 2)}} | |||||||
SECTION B– BANKING INFORMATION AND FOREX DETAILS |
||||||||
Provide details on the relationship with main financial institution. |
||||||||
Bank Name {{opt_one.application.data.finalData[0].bank_name}} |
||||||||
Branch Address {{opt_one.application.data.finalData[0].bank_branch_address}} |
||||||||
Primary TTD Bank Account Number {{opt_one.application.data.finalData[0].bank_account_no}} |
||||||||
SECTION C - DETAILS ON OWNERS, DIRECTORS, OFFICERS AND SIGNING AUTHORITY |
||||||||
1) |
Acting on behalf of the company. |
|||||||
2) |
Required to sign future documents with the bank. |
|||||||
3) |
Specify the names and titles of the persons authorized to give instructions, verifications, approvals (signature) to EXIMBANK. |
|||||||
NAME |
TITLE |
Cell Phone Contact |
Nationality |
|||||
{{name}} |
{{title}} |
{{phone}} |
{{nationality}} |
|||||
SECTION D - ADDITIONAL INFORMATIONAfter the application is submitted, an EXIMBANK Representative will contact you and provide instructions for supplying the following information.
|
||||||||
SECTION E – DECLARATIONBy clicking “submit” and/or affixing your signature to a physical copy of this form, the client declares the following:
|
||||||||
Customer Name |
Signature |
|||||||
Next StepTo successfully complete this application, you will be required to download, print, sign and upload this completed document. Pay attention to the initial tab on your browser for an upload prompt during the application process. |
SMALL AND MEDIUM BUSINESS FOREX CUSTOMER APPLICATION FORM
1. | Indicate the type of company being registered | {{opt_one2.application1.data.finalData[0].company_type}} | ||||||
2. | Does the applicant (company) participate in this program or any other EXIMBANK Forex programs | {{opt_one2.application1.data.finalData[0].participate}} | ||||||
3. | Has your business been registered and in operation for more than 12 months? | {{opt_one2.application1.data.finalData[0].operations_12_months}} | ||||||
4. | Please indicate if your company provides any of the following services (select all that apply) | {{opt_one2.application1.data.finalData[0].services_provided}} | ||||||
Date {{opt_one2.application1.data.finalData[0].application_date.formatDate('dddd, dd MMMM yyyy')}} |
||||||||
Business Name {{opt_one2.application1.data.finalData[0].business_name}} |
Business Registration Date {{opt_one2.application1.data.finalData[0].bus_reg_date}} |
|||||||
Physical Address of Business {{opt_one2.application1.data.finalData[0].bus_address}} |
||||||||
Telephone Number {{opt_one2.application1.data.finalData[0].tel_no}} |
Email Address of Contact {{opt_one2.application1.data.finalData[0].email}} |
|||||||
SECTION A - ENTITY DETAILS |
||||||||
1. |
Provide details of the facilities requested. Requested Monthly USD Requirement* |
{{opt_one2.application1.data.finalData[0].monthly_usd.toNumber().formatCurrency('$', '.', ',', 2)}} | ||||||
*Please note that the requested amount is not guaranteed to be approved as the facility is on a basis of immediate needs and scoring based on various attributes. |
||||||||
2. |
What sector is your company in? |
{{opt_one2.application1.data.finalData[0].company_sector}} | ||||||
3. |
Number of employees |
{{opt_one2.application1.data.finalData[0].number_of_employees}} | ||||||
4. |
Financial Year End (dd/mm) |
{{opt_one2.application1.data.finalData[0].year_end}} | ||||||
5. |
Annual sales from most recent financial statement TTD |
|||||||
Year |
Annual Sales as per Financials | |||||||
{{month}} |
{{sale_deposit.toNumber().formatCurrency('$', '.', ',', 2)}} | |||||||
6. |
Total Assets of Business in TTD |
{{opt_one2.application1.data.finalData[0].total_assets.toNumber().formatCurrency('$', '.', ',', 2)}} | ||||||
SECTION B– BANKING INFORMATION AND FOREX DETAILS |
||||||||
Provide details on the relationship with main financial institution. |
||||||||
Bank Name {{opt_one2.application1.data.finalData[0].bank_name}} |
||||||||
Branch Address {{opt_one2.application1.data.finalData[0].bank_branch_address}} |
||||||||
Primary TTD Bank Account Number {{opt_one2.application1.data.finalData[0].bank_account_no}} |
||||||||
SECTION C - DETAILS ON OWNERS, DIRECTORS, OFFICERS AND SIGNING AUTHORITY |
||||||||
1) |
Acting on behalf of the company. |
|||||||
2) |
Required to sign future documents with the bank. |
|||||||
3) |
Specify the names and titles of the persons authorized to give instructions, verifications, approvals (signature) to EXIMBANK. |
|||||||
NAME |
TITLE |
Cell Phone Contact |
Nationality |
|||||
{{name}} |
{{title}} |
{{phone}} |
{{nationality}} |
|||||
SECTION D - ADDITIONAL INFORMATIONAfter the application is submitted, an EXIMBANK Representative will contact you and provide instructions for supplying the following information.
|
||||||||
SECTION E – DECLARATIONBy clicking “submit” and/or affixing your signature to a physical copy of this form, the client declares the following:
|
||||||||
Customer Name |
Signature |
|||||||
Next StepTo successfully complete this application, you will be required to download, print, sign and upload this completed document. Pay attention to the initial tab on your browser for an upload prompt during the application process. |
To successfully complete the application process and submit to EXIMBANK, please upload the completed application that was downloaded, printed and signed.
To successfully complete the application process and submit to EXIMBANK, please upload the completed application that was downloaded, printed and signed.
Please print and sign a copy of this application and submit to your primary bank.
Please print and sign a copy of this application and submit to your primary bank.
By clicking “submit” and/or affixing your signature to a physical copy of this form, the applicant declares the following:
By clicking “submit” and/or affixing your signature to a physical copy of this form, the applicant declares the following:
I want to submit an application and I have financial statements
I want to submit an application but I only have bank statements