Guardian Media

Limited
PRIVATE &
CONFIDENTIAL

CREDIT APPLICATION FORM-NEW BUSINESS

To be completed in BLOCK LETTERS

NAME OF APPLICANT:

ADDRESS:

INVESTT LIMITED

NICHOLAS TOWER, LEVEL 19

63-65 INDEPENDENCE SQUARE
PORT OF SPAIN

Historical Sales with CNC3/GML:

TRADING AS:

Reason for credit application:

Length of Relationship with CNC3/GML

(How long a cash customer):

) SOLE OWNER

( ) PARTNERSHIP
( X ) LIMITED COMPANY
( ) INDIVIDUAL

Telephone No. (868) 225-4688

Fax No. (868) 225-5820

NAME OF COMPANY:

E-mail: Kathy-Ann.Donowa@Investt.co.tt
TYPE OF BUSINESS:

NAMES OF DIRECTORS/PARTNERS:

MR. MOONILAL LALCHAN CHAIRMAN

MS. SHARON CHRISTOPHER DIRECTOR
MS. PETAL-ANN ROBERTS DIRECTOR
MR. GARY HUNT DIRECTOR
MS. JANELLE PENNY COMMISSIONG
MS. AMALIA MAHARAJ

STATE OWNED ENTERPRISE

BANKERS:

ADDRESS:

AMOUNT OF CREDIT REQUESTED:

RBC Royal Bank (TT) Limited

EASTERNMAINROAD,SANJUAN

BUSINESS/PERSONAL REFERENCES

ADDRESSES & CONTACT NOS.:

(1)

(1)

(2)

(2)

ESTIMATED ANNUAL TURNOVER:

(3)

(3)

(4)

(4)

Guardian Media Limited (whether acting directly of through its Credit Reporting Agency) has my/our authority to obtain from my/our Bankers
(or any other Financial Institution), all relevant credit information relating to the history and operation of my/our loan or credit facilities in order
to arrive at an informed decision on my/our credit worthiness.
In consideration of your agreeing to my/our request to grant me/us Credit Facilities, I/we hereby agree to accepting the following
terms:
Terms: (a) Payment must be made before the 30th of the month following the month in which advertising was transmitted.
(b) A finance charge of 2% per month will apply on any overdue balance until settled. (That is recorded on account and not paid in
accordance
with section (a) above
(c) The credit facility will be automatically suspended at the first instance of default.
(d) The Company reserves the right to amend at any time the approved Credit Limit.
I/we certify that all particulars declared by me/us in this application are true and correct.

Witness
______________________________________________

__________________________________
Name in BLOCK letters or COMPANY

STAMP
Date
___________________________
_______________________________________

Signed
INDIVIDUAL/DIRECTOR/PARTNER
Signed

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INDIVIDUAL/DIRECTOR/PARTNER

Required: (i) Copy of last Financial Statement

(ii) Copy of Certificate of Incorporation/Bankers reference
(iii) Copy of VAT registration certificate (where applicable)
(iv) Two (2) forms of identification (where applicable)

FOR OFFICIAL USE ONLY

SALES PERSONS RECOMMENDATION:
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Signed: __________________________________________

CREDIT LIMIT RECOMMENDED:

COMMENTS:
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CREDIT CONTROLLER: _______________________________

C.F.O.: ______________________________

Date:

Date: ______________________

______________________

APPROVED/NOT APPROVED: __________________________________

Date: ______________________

MANAGING DIRECTOR
COMMENTS:
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