AUTOVATION SDN BHD
(Company No. 398024-X)
No. 23, Jalan Puteri 4/1, Bandar Puteri, 47100 Puchong, Selangor Darul Ehsan, Malaysia
Tel : (603) 8064 7888 Fax : (603) 8064 7999 E-mail : enquiry@autovation.com.my
APPLICATION FORM FOR CREDIT FACILITIES
(Also used for application for increase of credit limit)
A. APPLICANT
Name of
Business Name: _____________________________________________ M.D. or G.M.: __________________________________
Name of Person-inAddress: ___________________________________________________ Charge of Payment: ______________________________
Name of
___________________________________________________________ Purchasing Manager: _____________________________
Name of
___________________________________________________________ Accountant: ____________________________________
Telephone No.: ______________________________________________ Fax No.: _______________________________________
B. BUSINESS REGISTRATION INFORMATION
Please enclosed certified copy of Form 49 & 24 if private or public limited company.
Private Limited Co.
Authorised Capital: ___________________ Paid-up Capital: _____________ Partnership Public Limited Co.
Business Regn. No.: __________________ Date: _______________ Sold Proprietorship
Name of Proprietor/Partners/Directors
1. ___________________________________________
2. ___________________________________________
3. ___________________________________________
I/C No.
____________________
____________________
____________________
Residential Address
__________________________________
__________________________________
__________________________________
4. ___________________________________________
____________________
__________________________________
Name of Major Shareholders
1. ________________________________
2. ________________________________
3. ________________________________
No. of Shares
________________
________________
________________
Name of Bankers
1. ________________
2. ________________
3. ________________
Branch
____________
____________
____________
A/C No.
______________
______________
______________
C. CREDIT STANDING WITH OTHER SUPPLIERS
Supplier Name
1. _____________________________________
2. _____________________________________
3. _____________________________________
D. CREDIT FACILITIES REQUIRED
Credit Limit RM __________________
Credit Terms: __________________Days
Period Dealing
_________________
_________________
_________________
Credit Terms
_________________
_________________
_________________
Credit Limit
________________________
________________________
________________________
E. I/We hereby agree to accept the terms and conditions as printed on this Application
Form in respect of all present and future business transactions between us and certify
that all information given is true and correct.
_____________________________________________
Applicants Authorised Signature and Chop
_______________
Date
F. TERMS AND CONDITIONS
1. All payments must be made in full on due date and/or within the credit period stated in our invoice/delivery order.
2. Interest charge at 1.5%per month will be charged on the overdue invoices.
3. The company reserves the right to suspend credit or cancel the credit facilities granted without prior notice.
