THE KEY IS FOR US TO KNOW IF YOU ARE SEEKING FINANCING FOR A PROJECT OR FINANCING FOR A TRADE TRANSACTION (IMPORTING GOODS) OR ANOTHER TYPE OF FINANCING.
FULL FINANCIAL SERVICES APPLICATION
(Type in or Complete in BLACK ink and in CAPITALS and return)
(1) ABOUT THE CONTACT PERSON (typically the person completing this form):
Title (e.g. Mr, Mrs, Ms, Dr.) :
First and Other Names:
Any Former Names:
Provide information about your business and professional experience (attach Work History,
Resume or CV if available):
Passport Number: Date of Birth:
Nationality: Place of Birth:
Home Email: Office Email:
Home Telephone: Office Telephone:
Home Facsimile: Office Facsimile:
Mobile: Office Website:
Permanent Home Address:
Post Code Country:
Post Code Country:
Contact Instructions (e.g. call home phone before faxing):
(2) ABOUT THE PROPOSED BUSINESS:
What is the business you propose:
(3) NAMES OF THE CONTRACTURAL COUNTERPARTIES:
First Party: (THE CLIENT BORROWER:)
Broker (if any):
(4) WHAT KIND OF SERVICE DO YOU REQUIRE – (check appropriate response):
Bank Instrument (s):
Vessel or Aircraft Finance:BG:
Proof of Funds:
To assess your application, we need detailed information about what you propose to do.
Please give a brief description of the nature of the business that you propose and if necessary
supply a business plan.
(5) BUSINESS LOGISTICS
1. Provide detailed information about where the proposed business is to take place.
2. Transaction amount required (in USD):____________________
3. If you are using your own supplier for this transaction please provide the following:
4. Name and address of supplier:
5. Please provide a copy of your suppliers proforma invoice.
(6) HOW WILL THE BUSINESS BE FUNDED OR GUARANTEED? (CHECK APPROPRIATE RESPONSE):
Personal Funds of the Owners:
First Trading Invoice Bank Loan:
Bank guarantee of my bank:
X Corporate Loan:
Trade finance – bank:
To comply with our statutory duties to prevent money laundering, we must know how the
business will be funded.
Please describe the source of any funds that will be used to support the business you are
NAME, ADDRESS AND WEB SITE OF BANK TO GUARANTEE THE TRANSACTION:
(7) ABOUT YOUR BANKER:
(8) ABOUT YOUR ACCOUNTANT:
(9) CORRESPONDENT & CONFIRMING BANK:
Bank Name :
Bank Address :
Swift Code :
ABA Routing No:
Account Name :
10. By signing this application and bringing GRW and or one of our Financial Services partners on board to help with your financial services request, you also confirm you have read on this web-site the various financial services GRW can offer as a consultant, including the home page.
I UNDERSTAND THAT BY SIGNING THIS APPLICATION THAT I ATTEST TO ALL INFORMATION HEREIN BEING TRUTHFUL AS ANY UNTRUTHFUL STATEMENT OR DOCUMENT CAN LEAD TO THE CANCELING OF THE TRANSACTION AND FORFEITURE OF ANY RETAINER PAID.
The client understands and agrees to supply normal KYC (Know Your Client) financial documentation and other financial data requested as normal for the type of financing or guarantees that client is seeking here under as a condition of this clause. Failure to do so would cause any retainer given to be forfeited.
COMPANY NAME IF ANY:_____________________________