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    Credit Evaluation Form

    Uploaded by

    Azeemuddin Siddiqui
    This document contains a company's registration details, ownership information, bank and supplier references, and key contacts. It requests a credit facility, and includes a declaration authorizing the recipient to conduct a credit investigation. The company provides details to verify its legal status, lines of business, years in operation, and authorization of signatories. It aims to establish the company's creditworthiness for business transactions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Credit Evaluation Form

    Uploaded by

    Azeemuddin Siddiqui
    162 views3 pages
    This document contains a company's registration details, ownership information, bank and supplier references, and key contacts. It requests a credit facility, and includes a declaration authorizing the recipient to conduct a credit investigation. The company provides details to verify its legal status, lines of business, years in operation, and authorization of signatories. It aims to establish the company's creditworthiness for business transactions.

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    This document contains a company's registration details, ownership information, bank and supplier references, and key contacts. It requests a credit facility, and includes a declaration authorizing the recipient to conduct a credit investigation. The company provides details to verify its legal status, lines of business, years in operation, and authorization of signatories. It aims to establish the company's creditworthiness for business transactions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    162 views3 pages

    Credit Evaluation Form

    Uploaded by

    Azeemuddin Siddiqui
    This document contains a company's registration details, ownership information, bank and supplier references, and key contacts. It requests a credit facility, and includes a declaration authorizing the recipient to conduct a credit investigation. The company provides details to verify its legal status, lines of business, years in operation, and authorization of signatories. It aims to establish the company's creditworthiness for business transactions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    General Information

    Company Name:
    Address (Head Office):
    Year of Establishment: No. of Employees:
    Telephone: Fax:
    E-mail: Website:

    Registration Details
    Legal Status: Establishment Limited Liability Company Joint Venture Partnership Corporation

    Nature of Business: Date of Registration:

    Trade License No.: Issue Date: Expiry Date:

    Chamber of Commerce: Issue Date: Expiry Date:

    Proprietors/ Partners
    Name of Proprietors/ Partners Nationality % Ownership Position Held Contact No.

    As on Date:

    Local Sponsor

    Name:
    Address:
    Tel No.: Fax No.: Mob. No.:

    Joint Venture (if applicable)

    Name of the Joint Venture Company:


    Address:

    Related Companies
    Company Name Address Line of Business % Shares
    A Parent

    B Subsidiaries
    1
    2
    3

    Auditors

    Name:
    Address:
    ISO Certificates
    Number Start Date Expiry Date

    Legal Matters

    1 Have you or your partners/ Shareholders/ Directors ever filed for bankruptcy? No
    If yes, when:

    2 Is your company subject to any legal proceedings? No


    If yes, describe.

    Bank References

    1- Bank Name: Tel:


    Address: Fax:
    Relationship Mgr.: Mob.:
    Bank Accounts: Current Savings Others, Specify E-mail:

    2- Bank Name: Tel:


    Address: Fax:
    Relationship Mgr.: Mob.:
    Bank Accounts: Current Savings Others, Specify E-mail:

    Major Supplier References (Services and Materials)

    1- Company Name: Tel:


    Address: Fax:

    Contact Name:
    Credit Period: 0 30 (days)
    Designation: Credit Terms: Credit
    Mobile No.: Credit Limit: AED

    2- Company Name: Tel:


    Address: Fax:

    Contact Name:
    Credit Period: 0 30 (days)
    Designation: Credit Terms: Credit
    Mobile No.: Credit Limit: AED

    List of On-going Projects


    Client Name Project Developer Contract Value % Complete Finish Date
    1
    2
    3
    4
    Total
    Authorized Signatories to sign LPO
    Full Name Designation Specimen Signature Email Address
    1
    2

    Authorized Signatories Cheques/ Bill of Exchange/ Other Bank Documents


    Full Name Designation Specimen Signature Email Address
    1
    2

    Key Contact Persons for Payments Process


    Full Name Designation Contact No. Email Address
    1
    2

    Details of your Credit Requirement


    Services Required: Value Credit Term Job Duration
    Equipment Rental
    Dewatering Works
    Sheet Piling
    Others
    Specify:

    Please Attach the Following Documents:


    1 Copy of Trade License
    2 Copy of Chamber of Commerce Certificate
    3 Copy of Passport(s) of Owners
    4 Copy of Passport Local Sponsor
    5 Copy of Passport(s) of Authorized Signatory for Contracts & Payments
    6 Copy of Bank Mandate showing the Authorized Signatories for Payments
    7 Copy of 3 years signed Audit Report
    8 Copy of Valid Zakat and VAT Certificate
    9 Company Profile
    10

    We apply to have a credit facility extended to us and undertake to settle the full amount on or before the due date for the credit period given
    to us and understand that this credit facility will be automatically suspended if payment is not made on time or any cheque is dishonored by
    the bank due to lack of funds.

    Furthermore, we hereby declare that the above information is true and correct. We authorize ACTION to conduct credit investigation including
    contacting our trade references and banks as well as obtaining credit reports. We also authorize our trade references and banks and credit
    reporting agencies to disclose to ACTION all financial and credit information of our company.

    Name and Signature


    Authorized Signatory
    Designation:
    Date: (Company Stamp)

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