Doosan D30

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SHUMANI INDUSTRIAL EQUIPMENT (PTY) LTD

Reg. No. 2010/011829/07 (hereinafter referred to as the “Company”)
THIS APPLICATION FOR CREDIT FACILITIES INCORPORATES STANDARD TERMS AND CONDITIONS OF TRADE AND DEED OF SURETYSHIP

Business Details

Registered name of business: *

(hereinafter called the "Customer")

Trading name of business: *

Previous trading / registered name: *

(Enter N/A if not applicable)

Incorporated form of business: *

Date of incorporation: *

Company registration number: *

VAT registration number: *

Names of subsidiary and associate companies: *

Business activities: *

Source of funds: *

IF THE CUSTOMER IS A SOLE PROPRIETOR OR PARTNERSHIP

Is your business a Sole Proprieter or Partnership? *

Name *

First

Last

(hereinafter called the "Customer")

Trading as: *

Identity number: *

How long has the business been in operation? *

Marital status: *

Married in/out of community of property: *

If married in community of property,

Name of spouse:

First

Last

(hereinafter called the "Customer")

Has spousal consent been obtained?

ADDRESS DETAILS

Physical address : *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Postal address: *

Delivery address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Registered address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Telephone number: *

Fax number: *

Email address: *

LANDLORD DETAILS

Premises: *

Owned
Rented

Name of Landlord: *

(Enter N/A if not applicable)

Postal address of Landlord: *

(Enter N/A if not applicable)

Landlord's Telephone number: *

(Enter N/A if not applicable)

Landlord's Fax number: *

(Enter N/A if not applicable)

Landlord's Email address: *

DIRECTORS / MEMBERS / PARTNERS DETAILS

1. Full name: *

First

Last

1. Identity number: *

1. % shareholding / interest *

1. Residential address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

2. Full name:

First

Last

2. Identity number:

2. % shareholding / interest

2. Residential address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

3. Full name:

First

Last

3. Identity number:

3. % shareholding / interest

executive Registration AUDITOR'S

3. Residential address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

SHAREHOLDERS DETAILS (Required for KYC compliance)

1. Name *

First

Last

1. ID or Registration number: *

1. % shareholding *

1. Physical address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

2. Name

First

Last

2. ID or Registration number:

2. % shareholding

2. Physical address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

3. Name

First

Last

3. ID or Registration number:

3. % shareholding

3. Physical address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

TRADE REFERENCES

1. Name *

1. Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

1. Telephone number: *

1. Credit limit: *

1. Contact person: *

2. Name

2. Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

2. Telephone number:

2. Credit limit:

2. Contact person:

3. Name

3. Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

3. Telephone number:

3. Credit limit:

3. Contact person:

BANK DETAILS

Bank: *

Branch: *

Account name: *

Date opened: *

Account number: *

AUDITOR'S DETAILS

Auditor's/ Financial officer's name: *

Telephone number: *

Email address: *

CUSTOMER'S ACCOUNTS DEPARTMENT DETAILS

Accounts contact person: *

Telephone number: *

Designation: *

Fax number: *

Email address: *

Order numbers used: *

Select an option: *

Monthly
Quarterly
B-Annually
Annually
Once-off

Vendor number: *

1. Can the latest audited financial statements be made available?

What Year? *

2. Annual turnover or asset value of over R1 million?

If no, to 2 & 3 provide details:

3. Annual turnover or asset value of over R2 million?

4. Can surety be offered to substantiate credit limit?

The following documents must be attached to the application:

(Documents must not be more than 5mb in size)

FOR ALL APPLICATIONS

Proof of business physical address (lease agreement/utility bill/ bank statement) *

SARS tax clearance certificate *

ID of executive management/directors/managers (ID/passport) *

Bank account confirmation letter not older than 3 months *

Resolution *

Private company / Close corporation

Company Registration document / CIPC Disclosure *

Share register/share certificate/organogram *

ID of BO - natural person/s who holds ≥25% of shares/ members interest (ID/passport) *

ID of authorised person acting on behalf of the entity (ID/passport) *

INDIVIDUAL NATURAL PERSON / SOLE PROPRIETOR

ID (passport, ID) *

Proof of address (utility bill, bank statement, mortgage statement) *

LISTED COMPANY / REGULATED ENTITY

Proof of regulation / Proof of listing *

ID of authorised person acting on behalf of the entity (ID/passport) *

TRUST

Trust Deed *

Identities of founder/settlor, all trustees and beneficiaries (Trust Deed/confirmation from auditor) *

Letters of Authority *

ID of ultimate beneficial owner/ founder of the trust (ID/passport) *

ID of an authorised person acting on behalf of the trust (ID/passport) *

PARTNERSHIP

Partnership agreement *

Proof of identities of ALL the partners (ID/passport) *

ID of an authorised person acting on behalf of the partnership (ID/passport) *

JOINT VENTURE

JV Agreement *

In respect of each member of JV:

• Company Registration document / CIPC Disclosure of all members of JV *

• Proof of physical address (lease agreement/utility bill/ bank statement) *

• Identities of executive management/directors/managers (ID/passport) *

• Share register/share certificate/organogram *

• ID of BO- natural person/s who holds ≥5% of shares/ members interest (ID/passport) *

• ID of an authorised person acting on behalf of the entity (ID/passport) *

ASSOCIATION/CHARITY/FOUNDATION/ NON-PROFIT ORGANISATIONS

Proof of existence, registration (including name and address) *

Evidence of legal status *

Evidence of purpose *

Identity documents all office holders *

Evidence of the source of funds and/or source of wealth *

Proof of beneficiaries *

ID of authorised person acting on behalf of the entity (ID/passport) *

The Customer hereby confirms that the above information is true and correct and undertakes to inform the Company, within 30 days, of any changes to the above information .

The Customer or its duly authorised agent does hereby apply for credit facilities with the Company and in consideration thereof the Customer does hereby irrevocably accept the terms and conditions below.

The Customer hereby authorises the Company to conduct all verification checks, including but not limited to credit bureaux searches, bank code requests and trade reference checks. The Customer Consents to the collecting and processing of the Customer’s personal information by the Company, to open, administer and operate the Customer’s account; to provide any combination of services linked to the Customer’s account; and to monitor and analyse the conduct on the Customer’s account for credit, fraud, compliance and other risk-related purposes.

The Customer expressly consents that the Company may process such information within its corporate group for the above purposes, and that the Company may disclose, as necessary, such information to any person who provides services to the Company, acts as the Company’s agent or service provider, or to whom the Company has transferred or intends to transfer any of its rights and obligations in respect of this Agreement. The Customer is providing its personal information voluntarily to the Company.

The Signatory hereby binds himself/herself as surety and co-principal debtor in solidum with the Customer in favour of the Company for the due performance of any obligation of the Customer and for the payment to the Company by the Customer of any amounts which may now or at any time be or become owing to the Company by the Customer.

Terms & Conditions *

I hereby except the terms and conditions.

Credit limit requested: *

Name *

Designation: *

Date: *

Place: *

Checkboxes *

I hereby authorize Shumani Industrial to conduct a credit check and verify the above-mentioned information.

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SHUMANI INDUSTRIAL EQUIPMENT (PTY) LTD

Business Details

IF THE CUSTOMER IS A SOLE PROPRIETOR OR PARTNERSHIP

If married in community of property,

ADDRESS DETAILS

LANDLORD DETAILS

DIRECTORS / MEMBERS / PARTNERS DETAILS

SHAREHOLDERS DETAILS (Required for KYC compliance)

TRADE REFERENCES

BANK DETAILS

AUDITOR'S DETAILS

CUSTOMER'S ACCOUNTS DEPARTMENT DETAILS

The following documents must be attached to the application:

FOR ALL APPLICATIONS

Private company / Close corporation

INDIVIDUAL NATURAL PERSON / SOLE PROPRIETOR

LISTED COMPANY / REGULATED ENTITY

TRUST

PARTNERSHIP

JOINT VENTURE

In respect of each member of JV:

ASSOCIATION/CHARITY/FOUNDATION/ NON-PROFIT ORGANISATIONS

The Customer hereby confirms that the above information is true and correct and undertakes to inform the Company, within 30 days, of any changes to the above information .

Doosan D30

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SHUMANI INDUSTRIAL EQUIPMENT (PTY) LTD

Business Details

IF THE CUSTOMER IS A SOLE PROPRIETOR OR PARTNERSHIP

If married in community of property,

ADDRESS DETAILS

LANDLORD DETAILS

DIRECTORS / MEMBERS / PARTNERS DETAILS

SHAREHOLDERS DETAILS (Required for KYC compliance)

TRADE REFERENCES

BANK DETAILS

AUDITOR'S DETAILS

CUSTOMER'S ACCOUNTS DEPARTMENT DETAILS

The following documents must be attached to the application:

FOR ALL APPLICATIONS

Private company / Close corporation

INDIVIDUAL NATURAL PERSON / SOLE PROPRIETOR

LISTED COMPANY / REGULATED ENTITY

TRUST

PARTNERSHIP

JOINT VENTURE

In respect of each member of JV:

ASSOCIATION/CHARITY/FOUNDATION/ NON-PROFIT ORGANISATIONS

The Customer hereby confirms that the above information is true and correct and undertakes to inform the Company, within 30 days, of any changes to the above information .