cim finance ltd. tel: fax: email: 1. … · private vehicle car rental taxi conveyance...
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Cim Finance Ltd.P.O Box 297, Manhattan Building,c/r Edith Cavell & Mère Barthélemy Streets, Port Louis, MauritiusTel: +230 203 6800 Fax: +230 203 6816Email: [email protected] www.cimfinance.mu
1. APPLICATION FOR CREDIT FACILITIES (Leasing / Money Lending)
2. PURCHASE DETAILSALM 02-03, Issue No.02
Others Specify
Scheme
Other info on item purchased New Vehicle Recon. Vehicle 2nd hand Vehicle Motorcycle Equipment
3. OTHER
*By providing your email address and/or mobile phone number, you consent to receive Electronic communication from CIM FINANCELTD or any other party acting on its behalf.
I/We authorise CIM FINANCE LTD to obtain information on my /our credit status from MCIB.
By providing your signature herein, you accept the offer of the facillities offered by CIM FINANCE LTD as set forth in this applicationform, altogether with the respective terms and conditions and/or agreement (as may be amended) that shall follow the applicationform.
I/We understand that CIM FINANCE LTD reserves the right to reject the application at its sole discretion without stating any reason.
*Choice of Insurance Company: ................................................................................................................................................
I/We ............................................................................................................................................, the undersigned declare that I/We exercise my/ourfree choice as to the insurance policy required to guarantee the lease granted to me/us.
I/We ............................................................................................................................................, declare that I/We have/have not contracted anyother loan/lease within the twelve months prior to the date of this application.
I/We confirm that the information given above is true, correct and complete and I/We understand that the facility, if approved, willbe governed by the Laws of Mauritius.
4. E - CONSENT
Payment Mode Std Order Direct DebitCash
Others Specify
(excl all charges)(Inc VAT)
(Inc all charges excl VAT)(Inc VAT)
Model
BORROWER’S DECLARATIONYES NOBorrowing facilities from other institutions
if yes;
Name of Institutions Ourstanding amount (RS)
............................................................Name/s of authorised signatory/ies
............................................................Name/s of authorised signatory/ies
............................................................Name/s of authorised signatory/ies
............................................................ Signature
............................................................ Signature
............................................................ Signature
Date: .................................................. Date: ..................................................Date: ..................................................
Would you like to have a CREDIT CARD / SHELL CARD? YES NO If YES, which card would you like to have?
What CREDIT LIMIT you would like to have ? RS
Private Vehicle
Car Rental
Taxi
Conveyance
Manufacturing Equipment
Office Equipment
Printing Equipment
IT Equipment & Accessories
Kitchen Equipment
Other (Specify)
Distribution of goods
Heavy Duty Vehicle
Heavy Duty Equipment
Leisure
6. LOAN / LEASE PURPOSE
7. BANK
Bank
Branch
O/D Limit
Savings Current Account name if different from lessee
Account Number to be debited
8 . COMMENTS
Date Staff
Page 2 of 2
7.1 BANK TRANSACTION HIGHLIGHTS
Month Bank:Bank:Bank: Remarks
FOR OFFICE USE5. COMPANY RELATED
Individual
Non Group Company
Cim Associated Company
Cim Group Company
Cim Related Company
Societe
Taylor Smith Group Company
IBL Group Company
Rogers Group Company
Scott Companies
Agriculture
Construction
Commerce
EPZ Manufacturing
Food & Beverage
OTHER Inds & Manufacturing
Personal
Printing
Professional & Prof. Services
Tourism
Transport
Harel Mallac