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Credit Application to open account with FLOWIN CABLES-RAJKOT

Type of Limit : CAD PDC Open Terms Security Cheque
Line of Credit Requested :
Date of Application :
FURNISH ALL REQUESTED INFORMATION FOR APPLICATION TO BE PROCESSED
ALONG WITH ANEEXURE A AND ANEEXURE B
Applicant, which also includes guarantors, submits this Application for Credit to
Flowin Cables (FC) for the purpose of including Flowin Cables to grant the Applicant credit.
Applicant agrees to the terms and conditions of the credit application and invoice. Applicant
represents and warrants that all information supplied is accurate & true. If space is
insufficient to provide information, supply on separate, attached schedules.

Date of Establishment Or Incorporated :

I. APPLICANT INFORMATION

Legal Name :-

legal Form of Business:

City : State :

Country : Postal Code : Telephone # : Fax # Email : Website :

Registration Details Submitted as per Annexure A Yes No (Please tick one)

Account Payable Contact Name : Title : Phone : Email :

ALL OWNERS, PRINCIPALS, PARTNERS, OFFICERS OF MEMBERS

Name : Address :

List Similar or related business within last 5 years in which you

No. of Years in Business : have or had any interest :

III. CREDIT INFORMATION : BANK REFERENCES

Bank Name : Address : Telephone : Contact :

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Does Applicant have an established operating line of credit:

IF YES NAME OF THE CREDITOR: -

A. HISTORY
Has Applicant or any owner, principal, partner, officer or member had any judgments, collections, liens
or unpaid taxes in the last 7 years ?
-

If YES give details: -

Has applicant or any business controlled or operated by the applicant been

in bankruptcy or receivership?

If yes, when? Disposition?

B. MAJOR SUPPLIERS: (Trade References)

Name: Address Telephone:

C. ACCOUNT INFORMATION
1. Anticipated total purchase (annually) :
2. Maximum days credit required:
3. Annual Sales for Previous Financial Year:
4. Last Audited Financial Submitted: Yes ______ No ______ (Tick one)
5. Business Premises: Owned _____ Rented _____ 6. Godown Premises : Owned _____ Rented ____
7. Name of Group Concern already dealing with FLOWIN CABLES :
8. Business Establishment Proof Submitted: Yes _____ Please Mention _____ GSTIN Certified att:

Applicant agrees that it must notify Flowin Cables any changes in its legal status, statutory
and/or any other information provided in this form within 30 days of such change. In the
absence of this, any statutory or regulatory compliance issue if arises and cost and
consequences thereof will be complete responsibility of the applicant

Credit terms. Applicant also agrees to provide Flowin Cables with a current financial

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statement and other business information relevant for Credit Limit Purposes whenever
requested. Applicant acknowledges that this account is subject to periodic review and Credit
Limit and Terms of Credit Sales may be modified/revoked without notice at the discretion of
Flowin Cables , at any time without prior notice to the applicant. Applicant hereby authorises
Flowin Cables to obtain or exchange any information it may require related to this application
from any sources including, but not limited to credit bureaus, applicants financial institutions
and trade suppliers

Applicant hereby authorises Flowin Cables to obtain or exchange any information it may
require related to this application from any sources including, but not limited to credit
bureaus, applicants financial institutions and trade suppliers which Flowin Cables, in its sole
discretion, may deem necessary or advisable, each source being authorised by Applicant to
provide Flowin Cables with such information

Flowin Cables has furnished to the Applicant Terms of the Sales which will form part of the
invoices raised to the Applicant for the goods supplied and the Applicant agrees and
undertakes to abide by the same. Applicant Agrees to abide by same

The undersigned, being either the Applicant or an individual authorised to act on behalf of the
Applicant, offers this information to Flowin Cables to induce consideration for credit. The
undersigned hereby acknowledges and agree to all terms and conditions of this Credit
Application and the credit agreement included herein. The undersigned certifies the
information submitted is true and correct and grants permission to verify any information
deemed necessary to make a credit determination

Applicant hereby confirms that the details furnished as per Annexure A and B below are true
and updated as on date of this application.

For (Sign with Stamp)

Name Name

Title Title

Note :

PLEASE FILL IN THE INFORMATION IN ANNEXURE A & B BELOW DULY SIGNED BY THE AUTHORISED PERSON
AND SEND IT TO OPEN THE ACCOUNT

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ANNEXURE A

CUSTOMER'S REGISTRATION DETAILS

CUSTOMER NAME :

ADDRESS : NATARAJ

NATURE OF BUSINESS :

GSTIN :

AUTHORISED SIGNATORY WITH STAMP

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ANNEXURE B

GUARANTY
In the consideration of the extension of credit, the applicant and the
undersigned, individually, jointly and severely agree to pay all invoices for goods
and services provided to the applicant within (30) thirty days from the date of
the invoice. All payments are to be in favour of Flowin Cables ONLY

The undersigned individually represents to Flowin Cables (FC) that the

undersigned is an owner, stockholder, partner, officer, agent or director of the
applicant and is fully and totally responsible for all business indebtnesses.

In the event Flowin Cables. incurs any expense in the collection of a debt related
to the applicant account or enforcement of the instrument, the undersigned,
individually, jointly and severally agrees to reimburse Flowin Cables. for such
expense. Expenses may include, but are not limited to, costs of collection, court
costs, attorney fees and any all other expenses that may be awarded by the
court. The undersigned further agrees that if for any reason litigation should
arise out of this agreement or the applicant agreement that the it will be
restricted to Rajkot jurisdiction only

The undersigned agrees by acceptance of goods and services to pay a service

charge of 1.75% PM (21% per annum) on all delayed payments with in 15 days
from the Due date of the Invoice and there after It will be 2% pm ( 24% p.a) from
the due date of the Invoice.

I have read and understand the terms and conditions set forth in this
agreement and agree to be bound to them.

GUARANTORS NAME PAN NO

COMPLETE ADDRESS (STREET, CITY, STATE AND PIN CODE)

Mobile Number

GUARANTORS SIGNATURE DATE

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Credit Application to open account with NATARAJ POLYPLAST PVT.

LTD.-RAJKOT
Type of Limit : CAD PDC Open Terms Security Cheque
Line of Credit Requested :
Date of Application :
FURNISH ALL REQUESTED INFORMATION FOR APPLICATION TO BE PROCESSED
ALONG WITH ANEEXURE A AND ANEEXURE B
Applicant, which also includes guarantors, submits this Application for Credit to
NATARAJ POLYPLAST PVT. LTD. (NPPL) for the purpose of including NATARAJ POLYPLAST PVT.
LTD.-to grant the Applicant credit. Applicant agrees to the terms and conditions of the credit
application and invoice. Applicant represents and warrants that all information supplied is
accurate & true. If space is insufficient to provide information, supply on separate, attached
schedules.

Date of Establishment Or Incorporated :

I. APPLICANT INFORMATION

Legal Name :-

legal Form of Business:

City : State :

Country : Postal Code : Telephone # : Fax # Email : Website :

Registration Details Submitted as per Annexure A Yes No (Please tick one)

Account Payable Contact Name : Title : Phone : Email :

ALL OWNERS, PRINCIPALS, PARTNERS, OFFICERS OF MEMBERS

Name : Address :

List Similar or related business within last 5 years in which you

No. of Years in Business : have or had any interest :

III. CREDIT INFORMATION : BANK REFERENCES

Bank Name : Address : Telephone : Contact :

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Does Applicant have an established operating line of credit:

IF YES NAME OF THE CREDITOR: -

A. HISTORY
Has Applicant or any owner, principal, partner, officer or member had any judgments, collections, liens
or unpaid taxes in the last 7 years ?
-

If YES give details: -

Has applicant or any business controlled or operated by the applicant been

in bankruptcy or receivership?

If yes, when? Disposition?

B. MAJOR SUPPLIERS: (Trade References)

Name: Address Telephone:

C. ACCOUNT INFORMATION
1. Anticipated total purchase (annually) :
2. Maximum days credit required:
3. Annual Sales for Previous Financial Year:
4. Last Audited Financial Submitted: Yes ______ No ______ (Tick one)
5. Business Premises: Owned _____ Rented _____ 6. Godown Premises: Owned _____ Rented ____
7. Name of Group Concern already dealing with NATARAJ
POLYPLAST PVT. LTD:
8. Business Establishment Proof Submitted: Yes _____ Please Mention _____ GSTIN Certified att:

Applicant agrees that it must notify NATARAJ POLYPLAST PVT. LTD. any changes in its legal
status, statutory and/or any other information provided in this form within 30 days of such
change. In the absence of this, any statutory or regulatory compliance issue if arises and cost
and consequences thereof will be complete responsibility of the applicant

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Credit terms. Applicant also agrees to provide NATARAJ POLYPLAST PVT. LTD with a current
financial statement and other business information relevant for Credit Limit Purposes
whenever requested. Applicant acknowledges that this account is subject to periodic review
and Credit Limit and Terms of Credit Sales may be modified/revoked without notice at the
discretion of NATARAJ POLYPLAST PVT. LTD, at any time without prior notice to the applicant.
Applicant hereby authorises NATARAJ POLYPLAST PVT. LTD to obtain or exchange any
information it may require related to this application from any sources including, but not
limited to credit bureaus, applicants financial institutions and trade suppliers

Applicant hereby authorises NATARAJ POLYPLAST PVT. LTD to obtain or exchange any
information it may require related to this application from any sources including, but not
limited to credit bureaus, applicants financial institutions and trade suppliers which NATARAJ
POLYPLAST PVT. LTD, in its sole discretion, may deem necessary or advisable, each source
being authorised by Applicant to provide NATARAJ POLYPLAST PVT. LTD with such information

NATARAJ POLYPLAST PVT. LTD has furnished to the Applicant Terms of the Sales which will
form part of the invoices raised to the Applicant for the goods supplied and the Applicant
agrees and undertakes to abide by the same. Applicant Agrees to abide by same

The undersigned, being either the Applicant or an individual authorised to act on behalf of the
Applicant, offers this information to NATARAJ POLYPLAST PVT. LTD to induce consideration for
credit. The undersigned hereby acknowledges and agree to all terms and conditions of this
Credit Application and the credit agreement included herein. The undersigned certifies the
information submitted is true and correct and grants permission to verify any information
deemed necessary to make a credit determination

Applicant hereby confirms that the details furnished as per Annexure A and B below are true
and updated as on date of this application.

For (Sign with Stamp)

Name Name

Title Title

Note :

PLEASE FILL IN THE INFORMATION IN ANNEXURE A & B BELOW DULY SIGNED BY THE AUTHORISED PERSON
AND SEND IT TO OPEN THE ACCOUNT

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ANNEXURE A

CUSTOMER'S REGISTRATION DETAILS

CUSTOMER NAME :

ADDRESS :

NATURE OF BUSINESS :

GSTIN :

AUTHORISED SIGNATORY WITH STAMP

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ANNEXURE B

GUARANTY
In the consideration of the extension of credit, the applicant and the
undersigned, individually, jointly and severely agree to pay all invoices for goods
and services provided to the applicant within (30) thirty days from the date of
the invoice. All payments are to be in favour of NATARAJ POLYPLAST PVT. LTD ONLY

The undersigned individually represents to NATARAJ POLYPLAST PVT. LTD (NPPL)

that the undersigned is an owner, stockholder, partner, officer, agent or director
of the applicant and is fully and totally responsible for all business indebtedness.

In the event NATARAJ POLYPLAST PVT. LTD. incurs any expense in the collection of
a debt related to the applicant account or enforcement of the instrument, the
undersigned, individually, jointly and severally agrees to reimburse NATARAJ
POLYPLAST PVT. LTD. for such expense. Expenses may include, but are not limited
to, costs of collection, court costs, attorney fees and any all other expenses that
may be awarded by the court. The undersigned further agrees that if for any
reason litigation should arise out of this agreement or the applicant agreement
that the it will be restricted to Rajkot jurisdiction only

The undersigned agrees by acceptance of goods and services to pay a service

charge of 1.75% PM (21% per annum) on all delayed payments with in 15 days
from the Due date of the Invoice and there after It will be 2% pm ( 24% p.a) from
the due date of the Invoice.

I have read and understand the terms and conditions set forth in this
agreement and agree to be bound to them.

GUARANTORS NAME PAN NO

COMPLETE ADDRESS (STREET, CITY, STATE AND PIN CODE)

Mobile Number

GUARANTORS SIGNATURE DATE

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