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ROCH KYC FORM

The KYC form is designed for both new and existing customers to collect essential company information, payment terms, and credit references. It outlines the terms and conditions regarding payment, delivery, and return of goods, emphasizing the importance of adhering to credit limits and timely payments. The document also requires signatures from both the supplier and customer to confirm understanding and acceptance of the terms.

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a.suleiman19
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
4 views

ROCH KYC FORM

The KYC form is designed for both new and existing customers to collect essential company information, payment terms, and credit references. It outlines the terms and conditions regarding payment, delivery, and return of goods, emphasizing the importance of adhering to credit limits and timely payments. The document also requires signatures from both the supplier and customer to confirm understanding and acceptance of the terms.

Uploaded by

a.suleiman19
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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KYC (Know Your Customer) Form

New Customer Existing Customer Date: Sales Rep:

Customer Company Name: Region: Tick once where Applicable:

P.O. Box No. City: General Traders

Contact Person: Company Address: Supermarket

Dealers

Contact No:

Email Address:

Company TIN:

Certificate of Incorporation No:

Proposed Payment Terms (Please tick the proposed terms and complete the details where applicable):
CASH in Advance before delivery 50% on Order & Balance on Delivery

Post Dated Cheque before delivery. (e.g., 7 days PDC, 15 Days PDC.

Credit Limit (Amount): Credit Limit (Day):

Other, Please Specify:

Expected Monthly Sales Amount Supply Frequency:

Securities Offered (If Any) for credit limit approval:

Postdated cheque Bank Guarantee Any Other

Customer Authorized Official Details (Copy of Photo Identity Proof required):


# Names: Designation ID No Contact No: SPECIMEN Signature

References for Credit (By a reputed Supplier or bank)


# Reference Company / Bank Name Reference Name: Contact No:
1)

2)

Special Instructions Notes Copy of Documents Required:


1. Goods will not be supplied if Credit AMOUNT or DAYS is surpassed. 1. Certificate of Incorporation
2. Please ensure timely payments to avoid disappointment between parties. 2. TIN number / Certificate
3. Delayed payments may be subjected to reduction of credit limit & days.
Approved Credit Limit (Amount): Approved Credit (No of Days):

Prepared by: Sales Director: Chief Accounts Officer Acknowledgement:

Name: Name: Name:

Sign: Sign: Sign:

Date: Date: Date:

Remarks; Remarks: Remarks:

NB: This form helps in understanding the customers better. It can also be used for Credit Appraisal or updating existing details of the customer.
TERMS AND CONDITIONS

1) Agreed Payment Terms

Credit Limit (Amount): Credit Limit (Days):

a. Your account must remain within the designated amount limit and credit period.
b. Charges will apply for any bounced cheques, on a per-cheque basis.
c. The goods provided under this invoice will remain the company's property until full payment is settled

2) Receiving your goods:


a) Acknowledge receipt of goods by signing & affixing the company rubber stamp delivery note & Invoice. We request
upcountry customers to scan and email us the acknowledged delivery note and invoice or hand it over to our sales
executives (s) on his/her visit.
b) Goods once delivered/sold are not returnable without prior arrangement in writing.

c) Once the goods are received, please inspect them within 48 hours. Any issues with the products must be reported within
this time frame; after 48 hours, we will not accept returns or address concerns.

3) Making Payments

We advise you make payments via cash, bank or Momo transfer to authorized sales representative.

NOTE: We will not be liable for any cash payments made to any of our company personnel or staff.

4) Return of Goods:
a) Goods once delivered/sold cannot be returned. By signing the delivery note, the customer confirms receipt of goods in good
condition & quantity indicated in the delivery note.
b) In special cases when prior arrangement has made in writing, a return of goods will be accepted with the following conditions:
i. The products’ packing should be intact
ii. The product(s) should not be damaged.
iii. The product(s) should be in working condition
iv. All products’ accessories should be there and in good working condition.
v. The Product(s) warranty card has to be returned.

By signing this all the pages of this document including the Annexes, the customer confirms that they have understood
all the above terms and conditions and further confirm that they will abide by them.
THE SUPPLIER: THE CUSTOMER:

Supplier: Roch Appliances Ltd. Shop Name: …………………………………………………….

1 Sales Manager’s Name: …………………………………... 1 Sales Manager’s Name: …………………………………...

2 Signature: ...………………….……………......................... 2 Signature: ...………………….…………….........................

3 Date: ……………………………………………………… 3 Date: ………………………………………………………

Company Rubber Stump: Company Rubber Stump:

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