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Credit facility request form

The document is a Credit Facility Request Form for Coninx Industries Ltd, requiring detailed customer and director information, as well as credit requirements and product interests. It outlines the terms and conditions for opening and operating a credit account, including payment obligations, consequences of non-payment, and the company's rights regarding credit limits and facility withdrawal. The form must be signed by a director and includes a section for bank guarantees or other security.

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ricybrown254
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2 views

Credit facility request form

The document is a Credit Facility Request Form for Coninx Industries Ltd, requiring detailed customer and director information, as well as credit requirements and product interests. It outlines the terms and conditions for opening and operating a credit account, including payment obligations, consequences of non-payment, and the company's rights regarding credit limits and facility withdrawal. The form must be signed by a director and includes a section for bank guarantees or other security.

Uploaded by

ricybrown254
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CONINX INDUSTRIES LTD

Credit Facility Request Form

CUSTOMER NAME P.O BOX NO.


PIN NO. Attach copy PHYSICAL ADDRESS
VAT NO. A ttach copy EMAIL ADRESS
CERTIFICATE OF INCORPORATION Attach Copy TELEPHONE NO.S
BRANCHES
ASSOCIATED COMPANIES

DIRECTORS NAME PIN ID #


TEL NO. EMAIL DOB

NAME PIN ID #
TEL NO. EMAIL DOB

NAME PIN ID #
TEL NO. EMAIL DOB

NAME PIN ID #
TEL NO. EMAIL DOB
PURCHASE
NAME SIGNATURE
ORDER
AUTHORITY TEL NO. POSITION

NAME SIGNATURE
TEL NO. POSITION

BANKS NAME BRANCH A/C#


NAME BRANCH A/C#
TRADE
COMPANY NAME PERSON TEL NO.
REFERENCES
COMPANY NAME PERSON TEL NO.
COMPANY NAME PERSON TEL NO.

CREDIT CREDIT LIMIT PERIOD OF PAYMENT PAYMENT


REQUIREMENT REQUEST REQUEST MODE

PRODUCTS INTERESTED IN
ESTIMATED MONTHLY REQUIREMENT
CONINX SALES EXECUTIVE

DIRECTOR SIGNATURE
Affix Company Rubber Stamp

APPROVED APPROVED APPROVED PAYMENT


CREDIT AMOUNT TERMS OF MODE
FACILITY PAYMENT
TERMS AND CONDITIONS OF OPENING AND OPERATING A CREDIT ACCOUNT
By signing the credit application form I hereby bind myself to abide by the terms and conditions provided hereunder;
1. That Coninx Industries Limited may apply to applicants’ bank for a confidential report and to the credit references
bureau for credit information to aid in vetting process.
2. That all accounts are due for payment as per the agreed upon terms of payment.
3. That failure to pay account as required in No. 2 above may result in automatic withdrawal of credit facilities by the
company without notice.
4. Reinstatement of the services after withdrawal under clause 3 shall be at the absolute discretion of the company.
5. That without prejudice to the foregoing clause 4, the applicant will pay interest of 3% per month on all overdue
payments.
6. Coninx Industries Limited reserves the right to take any action necessary of any outstanding amounts and interest
thereon and the applicant will be responsible for all legal fees, advocates and auctioneers fees, party and party costs
and any other charges incurred towards the recovery of debts.
7. Disputed bills to be communicated to the company in writing within fourteen (14) days from date of invoice.
8. In any given situation only disputed amount will be left unpaid and the same treated as No. 7 above.
9. All payments to be accompanied by remittance advice, failing which such payment shall be allocated to the oldest
outstanding invoice.
10. Where VAT element is involved the whole amount of the invoice (including VAT) is deemed to be payable on the due
date. Therefore the applicant is supposed to either pay the invoice in full, and claim the VAT element from the
company upon presentation of VAT exemption certificate or submit the form before the due date (whichever
happens earlier).
11. Withholding VAT certificate to be presented with cheques.
12. Company reserves the right to revise credit terms as and when it deems necessary, with prior notice of 14 days to
the applicant.
13. Accounts with overdue balances due to VAT elements will be treated as No. 3 above.
14. Applicants shall not be allowed to exceed their credit limits.
15. Extension of credit limits to be done in writing by the applicant.
16. Extension of cheque dates to be done in writing 3 working days before the cheque date by the applicant.
17. Unpaid cheques will be charged at Kshs 5,000/- per unpaid cheque
18. The company reserves the right to withdraw the credit facility at any time by giving the client a fourteen (14) days
written notice of such withdrawal.

DIRECTOR SIGNATURE
Affix Company Rubber Stamp

Bank Guarantee □
CONINX INDUSTRIES LTD Other Security □
APPROVED BY:

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