ĐƠN VAY VỐN | (THE PROJECT LOAN FUNDING APPLICATION)
THE PROJECT LOAN FUNDING APPLICATION
(All figures are in USD. Estimated exchange rate 1 USD = 23,500 VND).
Please read the following carefully:
IT IS IMPORTANT THAT YOU PROVIDE THE FOLLOWING INFORMATION AND DOCUMENT FOR US.
If you submit without a fully completed application form and all supporting document we will not be able to help you.
This information is required to help us to deal with your application speedily and efficiently.
If it is apparent that information has been withheld or appear to be false, your application will not be considered.
- Business pan/executive summary.
- Financia statement articles.
- Artices of incorporation and by-laws/ other similar documents.
- Proof of identity: a vaid legal passport copy or driving license of company's director(s).
- Letter of the project oan funding request.
- Other information. We need to know what you need the oan for. Please be specific on the application form. Estimates/quote will be required.
SECTION A - Application Details
1. Applicant names(s): ..........
2. Business name: ..........
3. Business address: ..........
4. Business telephone & fax number: ..........
5. E-mail address: ..........
6. Business type (choose one of the following five; delete the remaining four): (a) Sole trader (b) Limited company (c) Partnership (d) Joint-stock company (e) Other.
7. Company registered number: ..........
8. Date business was established: ..........
9. Accounting year end: ..........
10. Brief description of what business does: Maximum 2 pages.
11. Choose one of the three business types below (delete the remaining two types).
11.a. The business is a private enterprise or a one-member limited liability company
Name the legal representative (owner or CEO) who holds the majority stake:
Full name: ………. Stake held: USD ………. Percentage: ………. %
11.b. The business is a partnership or a multi-member limited liability company
Name all members (individuals & organizations) who hold equities from 4% and up:
Full name: ………. Equity held: USD ………. Percentage: ………. %
11.c. The business is a joint-stock company or corporation
Name all shareholders (individuals & organizations) who own shares from 4% and up:
Shareholder full name: ………. Share owned: ………. Percentage: ……….%
SECTION B - General Information Loan requested
1. Why are applying for this loan (give a brief description of the project’s purpose of the
loan)?: Maximum 1 page.
2. Choose one (to match (A) below) of the following two; delete the remaining:
2a. Total cost of project (fix capital + working capital): USD ……….. (if it is the new project).
Fixed capital: USD ……….
Working capital: USD ……….
2b. Total outstanding balance: USD ………(if it is the refinancing project).
3. Loan amount requested (to match (B) below): USD ……….
4. Over what period? (duration of loan requested): ………. (years).
5. Do you wish to repay by monthly or quarterly installment (choose one of the following two; delete the remaining) : Monthly / Quarterly.
6. Do you require a capital repayment holiday (pay interest only; not principal for the maximum of up to six- month period): Yes / No.
7. Total of non-investment funding: (C) = (A) - (B): USD ……….
8. What are the below sources of non-investment funding (C) (place zero if there is no amount).
- Your own financial contribution (equity): USD ……….
- Bank loan/overdraft: USD ……….
- Hire purchase/Leasing: USD ……….
- Grants: USD ………. (example: Receive fund from the government)
SECTION C - Financial results
Historic account - last 2 months (extracted from the financial statements of the most recent quarter have been audited (or reviewed) by an international auditor).
Month ending: .........../2023
Sales: USD ……….
Gross profits: USD ……….
Overheads: USD ……….
Net profit before interest, tax & drawings: USD ……….
Fixed assets: USD ……….
Plus stock: USD ……….
Plus debtors & payments: USD ……….
Plus cash: USD ……….
Total assets: USD ……….
Less creditors & accruals: USD ……….
Less other borrowing / liabilities: USD ……….
Net capital employed: USD ……….
Number of employees: ……….
Month ending: ............/2023
Sales: USD ……….
Gross profits: USD ……….
Overheads: USD ……….
Net profit before interest, tax & withdrawing: USD ……….
Fixed assets: USD ……….
Plus stock: USD ……….
Plus debtors & payments: USD ……….
Plus cash: USD ……….
Total assets: USD ……….
Less creditors & accruals: USD ……….
Less other borrowing/ liabilities: USD ……….
Net capital employed: USD ……….
Number of employees: ……….
SECTION D - Bank account details for receipt of loan funding (open a USD bank account at one of the global banks with branches in the applicant's country like Standard Chartered Bank, HSBC, and Citibank).
Bank Name: ……….
Bank Address: ……….
Swift Code: ……….
Sort Code: ……….
Account Number: ……….
Account Name: ……….
SECTION E - General
1) Number of existing full-time equivalent employee: ……….
2) Over the period of the loan, how many full-time equivalent jobs will be created: ……….
3) Has an owner, partner or director of the business:
3a) Been convicted of fraud or any other offence involving dishonesty? Yes/No
3b) Been adjudged bankrupt or a personal voluntary creditors arrangement? Yes/No
3c) Been a director (or substantial shareholder) of a company in liquidations or receivership or subject to a creditors voluntary arrangement or for which an administrator has been appointed? Yes/No
3d) Been disqualified from the board of directors of a company? Yes/No
3e) Had judgment entered against you in the court? Yes/No
DECLARATION
We may take up such references and make such enquiries about your company as we consider necessary, and we may use credit scoring and may search the files of credit reference agencies.
The fact a search had been made will be recorded by each credit reference agency used and the data supplied will be available to other lenders and others authorized to search the credit reference agencies files, for purpose such as credit assessment of your company and occasionally for debtor tracing and fraud prevention. If you application for finance is accepted then details about your company and the conduct of your account may be passed to credit reference agencies and these details will be used for similar purpose .
We may also disclose information about your company and the conduct of your account to credit industry fraud avoidance networks and to tracing and debt collection agencies and our solicitors. Data protection: Your company information will be treated as confidential and will only be disclosed (a) at your request, (b) to our agents in connection with running account (c) in the public interest or (d) to prevent fraud or legal compulsion or (e) taking up references. The data protection act gives you a right to copy of your company records held on our files on payment of a fee.
Full name
Title of the legal representative
(sign &stamp)