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MALDIVES FINANCE LEASINGCOMPANY PVT LTD
4th Floor, H. Filigasdhoshuge, Ameer Ahmed MaguMale’, 20-066, Republic of Maldives(+960) 331 5605, (+960) 331 5606
www.fb.com/[email protected]
DEBT FACTORING“CASH FLOW SOLUTIONS THROUGH FACTORING”
Name
Registered date
Private Limited Company Public Limited Company Sole Proprietorship
Partnership Other,please specify ...................................................................
Legal entity
Registration No
D D M M Y Y Y Y
Name Shareholding percentage ( % )
Registered Address
Business Address
Contacts/ E-mail
Contact person
Atoll
Atoll
Name of Building
Name of Building
Business activity
Phone no Fax no E-mail
Island
Island
Ward
Ward
Name
Floor
Floor
Apartment No.
Apartment No.
Road
Road
Designation
2
1 APPLICANT’S DETAILS (BUSINESS ENTITIES & INSTITUTIONS ONLY)
DETAILS OF SHAREHOLDERS
1
Name Board position
Revenue
Net income
Cost of sales
Other income
DETAILS Year 1 Year 2 Year 3
Name of Company / Business Registered Date
Audit report/s available Audit report/s not available
In case the Audited or Draft accounts for the last year are not available you may complete the following details and submit copies of Tax Returns.
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4
5
DETAILS OF BOARD OF DIRECTORS
( Name of concerns in which the partner/director/s has/have financial and other interests )Additional information will be called depending on the relevance to the present proposal.
BUSINESS FINANCIALS
INCOME & EXPENDITURE DETAILS
2
CREDIT HISTORY
Number of Active Customers:
What is currently owed toyou from your debtors:
Do you sell on consignment basis:
Bank/Financier
TotalGST
BPT
Is any legal action(s),pending?against your company
Do you have any tax arrears?
Do you or the company have arrangements with Creditors / Other financiers ?
If YESgivedetails
If YESgivedetails
Current Overdue
Limit Current Balance SecurityType of facility
What percentage of your sales are provided on credit terms: %
%What discount, if any,do you givefor early payment:
Do you sell on sale or return orexchange basis: Yes
Yes
Yes
No
No
Yes No
Yes No
Do you obtain purchase orders:
Do you invoice on a progress claim/milestone basis:
Average credit period
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If YESgivedetails
Yes No
DETAILS OF DEBTORS
EXISTING FINANCE FACILITIES
TAXATION
3
Movable Immovable
Vessels
BuildingVehicles
Others
Total value of Assets owned
Apartment
Land
Approx . valueName Name Approx . value
Others
Name ID no / Reg. No Relationship
12
Details of assets Details of liabilities
Total value Total value of long term liabilities
Total value of other assets
Total value of short term liabilities
Approx . value Approx . valueDETAILS DETAILS
Audit report/s available Audit report/s not available
In case the Audited or Draft accounts for the last year are not available you may complete the following details.
9 DETAILS OF ASSETS & LIABILITIES OF THE APPLICANT ( Asset Declaration )
PROPOSED GUARANTOR(S)
Total amountFacility type
10 BANKERS AND CURRENT FACILITIES
( Additional information will be requested based on the requirement )
11 FACILITIES REQUESTED
Invoice portfolio Value
4
Insured Value
Location of the assetAsset insured: Yes No
Yes No
Name of the asset
Is it free from any liens and encumbrances ?Estimated Value
13 ADDITIONAL COLLATERAL DETAILS
Fully completed application form
Business registration copy
Owners/shareholders/Directors ID copies
Audit reports ( Last 2 years )
Draft accounts for the current year up to the last available month-end
Projected cashflow statement covering the lease period
Company profile information sheet from Ministry of Economic Development
Business/company/shareholders/Directors profile
Document confirming the personal assets and liabilities of proprieator/partner and guarantors
Completed guarantor form
Invoices / statement of debtors
Tax clearance
Memorandum of Association
Articles of association
Resolution of the Board of Directors
Copy of company seal
Date Received ByFOR MFLC OFFICE USE ONLY
D D M M Y Y Y Y
Date
Company rubber - Stamp
Name:
Signature
D D M M Y Y Y Y
(Name of authorised signatory)
Authorised signatory
I/we hereby confirm that to the best of my/our knowledge and belief that the information provided is true and accurate. I/we authorise MFLC to carry out credit checks and referencing by contracting banks, organisations and individuals as necessary to assess my/our eligibility for this facility. I/we understand that this application remains a property of MFLC regardless of whether the lease is granted or not, and that MFLC reserves the right to decline / reject this application for a lease at their absolute and sole discretion without stating any reason whatsoever.
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LIST OF DOCUMENTS TO BE SUBMITTED
AUTHORISATION/DECLARATION
5
