Bank Loan Application Form and Checklist

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Date of Application

{{date}}

Bank and Branch Details

Bank Name: {{bank_name}}

Branch Name: {{branch_name}}

Branch Code: {{branch_code}}

Bank Contact Person: {{bank_contact_person}}

Contact Number: {{bank_contact_number}}

Applicant Business Information

Legal Name of Business: {{legal_business_name}}

Trading Name (if different): {{trading_name}}

Business Registration Number: {{business_registration_number}}

Tax Identification Number: {{tax_identification_number}}

Physical Address: {{business_physical_address}}

Postal Address: {{business_postal_address}}

Main Business Activity: {{main_business_activity}}

Date of Business Commencement: {{date_of_business_commencement}}

Type of Business (e.g., Sole Proprietor, Partnership, Pty Ltd): {{type_of_business}}

Contact Person Details

Full Name: {{contact_person_full_name}}

Designation: {{contact_person_designation}}

Contact Number: {{contact_person_number}}

Email Address: {{contact_person_email}}

Loan Request Details

Loan Amount Requested: {{currency}} {{loan_amount_requested}}

Purpose of Loan: {{purpose_of_loan}}

Desired Repayment Period: {{repayment_period}} months

Proposed Collateral/Security: {{proposed_collateral}}

Required Documents Checklist

Please tick (✓) each item to confirm submission:

- [ ] Certified copies of business registration documents (e.g., Certificate of Incorporation, Memorandum and Articles of Association).

- [ ] Certified copies of national identification documents for all directors/partners/proprietors.

- [ ] Business Plan (including projections for {{projection_years}} years).

- [ ] Latest Audited Financial Statements for the past {{number_of_years_audited_financials}} years.

- [ ] Latest Management Accounts (if audited statements are not recent).

- [ ] Bank Statements for the past {{number_of_months_bank_statements}} months (all business accounts).

- [ ] Tax Clearance Certificate/Good Standing Certificate from the relevant tax authority.

- [ ] Details of existing loans/credit facilities (if any).

- [ ] Valuation reports for proposed collateral (if applicable).

- [ ] Proforma invoices or quotes for assets to be purchased with the loan (if applicable).

Declaration and Authorization

I/We, the undersigned, hereby declare that all information provided in this application and accompanying documents is true and accurate to the best of my/our knowledge and belief.

I/We authorize {{bank_name}} to conduct any credit checks, make enquiries, and obtain any information it deems necessary in connection with this application from any source whatsoever.

For Bank Use Only

Application Received By: {{bank_officer_name}}

Date Received: {{bank_date_received}}

Application Status: {{application_status}}

Comments: {{bank_comments}}

Signature Block

_____________________________

Name: {{applicant_name}}

Designation: {{applicant_designation}}

Date: {{signature_date}}