APPLICATION FOR FACTORING FACILITY

PERMOHONAN UNTUK KEMUDAHAN PEMFAKTORAN

Factoring

Confirming Facility

Bank Guarantee

Factoring Amount (RM)

Confirming Facility Amount (RM)

Bank Guarantee Amount (RM)

Section A

Section B

Section C

Section D

Last Page

A. PARTICULAR OF APPLICANT

BUTIR-BUTIR PERMOHON

01. Company Name: *

02. Type of Company (Please tick where applicable) *

Private Limited Company

Partnership

Proprietorship

03. Date of Incorporation/Registration *

04. Incorporation/Registration Certificate No. : *

05. Registration Address : *

06. Business Address : *

Telephone No. : *

Fax No.: *

Email Address : *

07. Contact Person / Contact No. (H/P) : *

08. Nature of Business : *

09. Authorised Capital :

10. Paid-up Capital :

11. Status of Company : *

Bumiputra Company

Non-Bumiputra Company

Foreign Company

12. Company's Shareholder

Pemegang Saham Syarikat

13. Board Of Director :

Lembaga Pengarah

14. Name of Company Top Management Personnel :

Nama Pegawai Pengurusan Tertinggi Syarikat

15. Bank Reference:

Bank Rujukan

16. Name of Company Auditor : *

Fill required fields

Section A

Section B

Section C

Section D

Last Page

B. PARTICULARS OF CONTRACT / PURCHASE ORDER (PO)

BUTIR-BUTIR KONTRAK / PESANAN BELIAN

1. CONTRACT

KONTRAK

Contract / PO No. :

Amount (RM) :

Description :

Remarks :

2. EMPLOYER

MAJIKAN

Name :

Address :

Contact Person :

Contact No. :

3. SUPPLIER

PEMBEKAL

Name :

Address :

Contact Person :

Tel / Fax No. :

Cost of Purchase (RM) :

Term of Purchase :

Expected Date of Delivery :

Remarks :

Fill required fields

Section A

Section B

Section C

Section D

Last Page

C. CONTRACT SUMMARY

RINGKASAN KONTRAK

Contract Type :

Contract / PO Amount :

Total Purchase Cost (RM) :

Gross Profit :

Percentage of Gross Profit (%) :

Expected Repayment (RM) :

Fill required fields

Section A

Section B

Section C

Section D

Last Page

D. DOCUMENTS TO BE SUBMITTED WITH THIS APPLICATION

DOKUMEN YANG PERLU DISERAHKAN BERSAMA PERMOHONAN INI

01. A certified copy of Memorandum and Article of Association of your company (for limited company only).
For sole-proprietorship or partnership, a copy of the Business Registration certificate.

Maximum file size: 2 MB