Generated Data
SMALL AND MEDIUM BUSINESS FOREX CUSTOMER APPLICATION FORM
Please note that completing this application does not guarantee immediate access to Forex, as it is Subject to Availability and Ministry of Finance Approval.
1. | Indicate the type of company being registered | {{opt_one.application.data.finalData[0].company_type}} | ||||||
2. | Does the applicant (company) 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 company 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')}} |
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Business Name {{opt_one.application.data.finalData[0].business_name}} |
Business Registration Date {{opt_one.application.data.finalData[0].bus_reg_date}} |
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Physical Address of Business {{opt_one.application.data.finalData[0].bus_address}} |
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Telephone Number {{opt_one.application.data.finalData[0].tel_no}} |
Email Address of Contact {{opt_one.application.data.finalData[0].email}} |
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SECTION A - COMPANY DETAILS |
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1. |
Provide details of the facilities requested. Requested Monthly USD Requirement* |
{{opt_one.application.data.finalData[0].monthly_usd.toNumber().formatCurrency('$', '.', ',', 2)}} | ||||||
*Please note that the requested amount is not guaranteed to be approved as the facility is on a basis of immediate needs and scoring based on various attributes. |
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2. |
List the products and/or services offered/manufactured by your company. |
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3. |
What sector is your company in? |
{{opt_one.application.data.finalData[0].company_sector}} | ||||||
4. |
What is your mode of business: |
{{opt_one.application.data.finalData[0].mode_of_business}} | ||||||
5. |
Is your company a standalone or part of a group of companies. |
{{opt_one.application.data.finalData[0].standalone_group}} | ||||||
6. |
If your answer to Question 5. above was “Part of a group of companies”, please list all other companies who are part of this group who have access to this program or any other EximBank Forex program (Forex Manufacturing or FAS Essentials) |
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Name of Company |
Facility type accessed | |||||||
{{company_name}} |
{{facility_type}} | |||||||
7. |
Number of employees |
{{opt_one.application.data.finalData[0].number_of_employees}} | ||||||
8. |
Annual Sales from Bank Statements (for last 12 months) |
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Month |
Sale deposit as per bank statement in TTD | |||||||
{{month}} |
{{sale_deposit.toNumber().formatCurrency('$', '.', ',', 2)}} | |||||||
9. |
Are all of your taxes (BIR, NIS and VAT) up to date as follows: |
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VAT clearance certificate no older than 12 months prior to date of application |
{{opt_one.application.data.finalData[0].vat}} |
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BIR tax clearance certificate no older than 12 months prior to date of application |
{{opt_one.application.data.finalData[0].bir}} |
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NIS compliance certificate no older than 12 months prior to date of application |
{{opt_one.application.data.finalData[0].nis}} |
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Certificate Type |
Certificate Issue Date (dd/mm/yyyy) | |||||||
VAT |
{{opt_one.application.data.finalData[0].vat_issued}} | |||||||
BIR |
{{opt_one.application.data.finalData[0].bir_issued}} | |||||||
NIS |
{{opt_one.application.data.finalData[0].nis_issued}} | |||||||
10. |
Please list the main foreign suppliers for your goods and/or services that you will be using this facility for. |
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Name |
Country |
Item | ||||||
{{name}} |
{{country}} |
{{item}} |
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SECTION B– BANKING INFORMATION AND FOREX DETAILS |
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Provide details on the relationship with main financial institution. |
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Bank Name {{opt_one.application.data.finalData[0].bank_name}} |
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Branch Address {{opt_one.application.data.finalData[0].bank_branch_address}} |
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Primary TTD Bank Account Number {{opt_one.application.data.finalData[0].bank_account_no}} |
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TOTAL USD OBTAINED ANNUALLY IN LAST THREE YEARS: |
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Year |
Annual USD Obtained per Year |
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{{opt_one.application.data.finalData[0].annual_obtained_year_1}} |
{{opt_one.application.data.finalData[0].annual_usd_year_1.toNumber().formatCurrency('$', '.', ',', 2)}} |
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{{opt_one.application.data.finalData[0].annual_obtained_year_2}} |
{{opt_one.application.data.finalData[0].annual_usd_year_2.toNumber().formatCurrency('$', '.', ',', 2)}} |
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{{opt_one.application.data.finalData[0].annual_obtained_year_3}} |
{{opt_one.application.data.finalData[0].annual_usd_year_3.toNumber().formatCurrency('$', '.', ',', 2)}} |
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What are your sources of funds/wealth for this forex facility |
{{opt_one.application.data.finalData[0].source_of_funds}} |
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SECTION C - DETAILS ON OWNERS, DIRECTORS, OFFICERS AND SIGNING AUTHORITY |
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1) |
Acting on behalf of the company. |
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2) |
Each majority owner/shareholder of the company (10% ownership or greater) |
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3) |
Required to sign future documents with the bank. |
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4) |
Specify the names and titles of the persons authorized to give instructions, verifications, approvals (signature) to EXIMBANK. |
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NAME |
TITLE |
Cell Phone Contact |
Nationality |
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{{name}} |
{{title}} |
{{phone}} |
{{nationality}} |
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1. |
Are any of the owners, directors, or signatories politically exposed*? |
YES NO |
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2. |
If Yes, please indicate names and affiliation: |
{{name}} - {{affiliation}} |
Generated Data
SMALL AND MEDIUM BUSINESS FOREX CUSTOMER APPLICATION FORM
Please note that completing this application does not guarantee immediate access to Forex, as it is Subject to Availability and Ministry of Finance Approval.
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')}} |
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Business Name {{opt_one2.application1.data.finalData[0].business_name}} |
Business Registration Date {{opt_one2.application1.data.finalData[0].bus_reg_date}} |
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Physical Address of Business {{opt_one2.application1.data.finalData[0].bus_address}} |
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Telephone Number {{opt_one2.application1.data.finalData[0].tel_no}} |
Email Address of Contact {{opt_one2.application1.data.finalData[0].email}} |
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SECTION A - COMPANY 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. |
List the products and/or services offered/manufactured by your company. |
|||||||
3. |
What sector is your company in? |
{{opt_one2.application1.data.finalData[0].company_sector}} | ||||||
4. |
What is your mode of business: |
{{opt_one2.application1.data.finalData[0].mode_of_business}} | ||||||
5. |
Is your company a standalone or part of a group of companies. |
{{opt_one2.application1.data.finalData[0].standalone_group}} | ||||||
6. |
If your answer to Question 5. above was “Part of a group of companies”, please list all other companies who are part of this group who have access to this program or any other EximBank Forex program (Forex Manufacturing or FAS Essentials) |
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Name of Company |
Relationship to applicant (subsidiary, parent, etc.) |
Facility type accessed | ||||||
{{company_name}} |
{{relation}} |
{{facility_type}} | ||||||
7. |
Number of employees |
{{opt_one2.application1.data.finalData[0].number_of_employees}} | ||||||
8. |
Financial Year End (dd/mm) |
{{opt_one2.application1.data.finalData[0].year_end}} | ||||||
9. |
Annual Sales from Financial Statements in TTD (for last 3 years): |
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Year |
Annual Sales as per Financials | |||||||
{{month}} |
{{sale_deposit.toNumber().formatCurrency('$', '.', ',', 2)}} | |||||||
10. |
Total Assets of Business in TTD |
{{opt_one2.application1.data.finalData[0].total_assets.toNumber().formatCurrency('$', '.', ',', 2)}} | ||||||
11. |
Total payables in TTD as stated in your last financial statement |
{{opt_one2.application1.data.finalData[0].total_payables.toNumber().formatCurrency('$', '.', ',', 2)}} | ||||||
12. |
From payables disclosed in Question 11. Above, please indicate total International Payables in USD |
{{opt_one2.application1.data.finalData[0].total_int_payables.toNumber().formatCurrency('$', '.', ',', 2)}} | ||||||
10. |
Are all of your taxes (BIR, NIS and VAT) up to date as follows: |
|||||||
VAT clearance certificate no older than 12 months prior to date of application |
{{opt_one2.application1.data.finalData[0].vat}} |
|||||||
BIR tax clearance certificate no older than 12 months prior to date of application |
{{opt_one2.application1.data.finalData[0].bir}} |
|||||||
NIS compliance certificate no older than 12 months prior to date of application |
{{opt_one2.application1.data.finalData[0].nis}} |
|||||||
Certificate Type |
Certificate Issue Date (dd/mm/yyyy) | |||||||
VAT |
{{opt_one2.application1.data.finalData[0].vat_issued}} | |||||||
BIR |
{{opt_one2.application1.data.finalData[0].bir_issued}} | |||||||
NIS |
{{opt_one2.application1.data.finalData[0].nis_issued}} | |||||||
10. |
Please list the main foreign suppliers for your goods and/or services that you will be using this facility for. |
|||||||
Name |
Country |
Item | ||||||
{{name}} |
{{country}} |
{{item}} |
||||||
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}} |
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Branch Address {{opt_one2.application1.data.finalData[0].bank_branch_address}} |
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Primary TTD Bank Account Number {{opt_one2.application1.data.finalData[0].bank_account_no}} |
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TOTAL USD OBTAINED ANNUALLY IN LAST THREE YEARS: |
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Year |
Annual USD Obtained per Year |
|||||||
{{opt_one2.application1.data.finalData[0].annual_obtained_year_1}} |
{{opt_one2.application1.data.finalData[0].annual_usd_year_1.toNumber().formatCurrency('$', '.', ',', 2)}} |
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{{opt_one2.application1.data.finalData[0].annual_obtained_year_2}} |
{{opt_one2.application1.data.finalData[0].annual_usd_year_2.toNumber().formatCurrency('$', '.', ',', 2)}} |
|||||||
{{opt_one2.application1.data.finalData[0].annual_obtained_year_3}} |
{{opt_one2.application1.data.finalData[0].annual_usd_year_3.toNumber().formatCurrency('$', '.', ',', 2)}} |
|||||||
What are your sources of funds/wealth for this forex facility |
{{opt_one2.application1.data.finalData[0].source_of_funds}} |
|||||||
SECTION C - DETAILS ON OWNERS, DIRECTORS, OFFICERS AND SIGNING AUTHORITY |
||||||||
1) |
Acting on behalf of the company. |
|||||||
2) |
Each majority owner/shareholder of the company (10% ownership or greater) |
|||||||
3) |
Required to sign future documents with the bank. |
|||||||
4) |
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}} |
|||||
1. |
Are any of the owners, directors, or signatories politically exposed*? |
YES NO |
||||||
2. |
If Yes, please indicate names and affiliation: |
{{name}} - {{affiliation}} |
Upload Your Application
Please select the downloaded application and submit it to Eximbank
Upload Your Application
Please select the downloaded application and submit it to Eximbank
DECLARATIONS
By completing this application, you hereby agree to the following:
- The information recorded on this application is true and complete
- You have correctly and completely disclosed the owners, the title holders of the company and persons who at this time are authorized to perform actions set out above on behalf of the company.
- Formal notification of any changes in the information provided above will be submitted to the bank.
- This information can be shared with statutory bodies and external professional institutions that perform reviews and report to statutory bodies.
ADDITIONAL INFO
In addition to the above requests, the bank requires a scanned copy of the following information. Upon submission of application, an officer will contact you on instructions for sending this required information.
-
Provide copies of two (2) forms of valid photo identification (National Identification Card, Driver’s License, Passport) for all individuals listed as OWNERS, DIRECTORS, OFFICERS AND SIGNING AUTHORITY
-
Bank Statements for the last three (3) years
-
Copy of Company's most recent Annual Returns
-
VAT clearance certificate no older than 12 months prior to date of application
-
BIR tax clearance certificate no older than 12 months prior to date of application
-
NIS compliance certificate no older than 12 months prior to date of application
-
Beneficial Interest Form
-
Company Profile (optional)
-
Certificate of Incorporation / Continuance / Amalgamation
-
Articles of Incorporation / Continuance / Amalgamation
-
Picture of owner/s of company holding National Identification card to their face
-
Pictures of business comprising of storefront, office area, inventory (if applicable based on response to Question 4 above) and business activity. (One each where applicable)
DECLARATIONS
By completing this application, you hereby agree to the following:
- The information recorded on this application is true and complete
- You have correctly and completely disclosed the owners, the title holders of the company and persons who at this time are authorized to perform actions set out above on behalf of the company.
- Formal notification of any changes in the information provided above will be submitted to the bank.
- This information can be shared with statutory bodies and external professional institutions that perform reviews and report to statutory bodies.
ADDITIONAL INFO
In addition to the above requests, the bank requires a scanned copy of the following information. Upon submission of application, an officer will contact you on instructions for sending this required information.
-
Provide copies of two (2) forms of valid photo identification (National Identification Card, Driver’s License, Passport) for all individuals listed as OWNERS, DIRECTORS, OFFICERS AND SIGNING AUTHORITY
-
Bank Statements for the last three (3) years
-
Copy of Company's most recent Annual Returns
-
VAT clearance certificate no older than 12 months prior to date of application
-
BIR tax clearance certificate no older than 12 months prior to date of application
-
NIS compliance certificate no older than 12 months prior to date of application
-
Beneficial Interest Form
-
Company Profile (optional)
-
Certificate of Incorporation / Continuance / Amalgamation
-
Articles of Incorporation / Continuance / Amalgamation
-
Picture of owner/s of company holding National Identification card to their face
-
Pictures of business comprising of storefront, office area, inventory (if applicable based on response to Question 4 above) and business activity. (One each where applicable)
HAVE FINANCIAL STATEMENTS
I want to submit an application and I have financial statements
HAVE BANK STATEMENT
I want to submit an application but I only have bank statements