The Namibia Procurement Fund Facility Application Form (Page 9 of 9) in pdf

The Namibia Procurement Fund Facility Application Form Page 9

INFORMATION TO BE SUBMITTED WITH APPLICATION FORM

 Audited Financial Statements for the latest past three financial years (if any)



Management accounts since the end of last financial year-end (if any)



Tender Document / Purchase Order (if applicable)



Projected Cash Flow for Project



Program of Works (if applicable)



Company Profile



Memorandum and Articles of Association (for Company)



Certificate of Incorporation (for Company)



Certificate of Business Registration (for other forms of business)



Partnership Deed (if a partnership business)



Bank Statements of the business for the latest 6 months from your banker(s)



Business License

 INCOME TAX Registration Certificate

 VAT Registration Certificate



Latest TAX Annual Return (for incorporated bodies)



Contact details for at least 3 business or trade references



Equipment quotations (not older than 30 days)

I / we confirm that the information and details given fairly represent true and complete state of affairs of

the company / business and authorize you to make any credit reference and other enquiries in accordance

with your normal procedures in connection with this application.

I / we further authorize the Fund to obtain Credit Bureau enquiry if necessary in order to enable it to

evaluate this application. In addition I / we consent to listing through Transunion, in the event of default.

Name: ………………………………….

Signature: ………………………………

Date: ……………………………………

Place: …………………………………….

Initial here………………………….

The Namibia Procurement Fund Facility Application Form Page 9