Credit Application Form | Tems Fresh Meat

Trading name of business *

Registered name of business *

Co. Reg. No. *

Vat registration number

(please attach certificate)

Certificate upload *

Click or drag files to this area to upload. You can upload up to 3 files.

Multiple Choice *

Sole Trader
Partnership
Company
Close Corporation

Delivery address *

(include code)

Postal address *

(include code)

Email *

Telephone number *

Cell Phone number *

Details of: Proprietor/Directors/Members/Partners *

(A): Full name

I.D. no. *

(A)

Residential address *

(A)

Details of: Proprietor/Directors/Members/Partners

(B): Full name

I.D. no.

(B)

Residential address

(B)

Details of: Proprietor/Directors/Members/Partners

(C): Full name

I.D. no. (copy)

(C)

Residential address

(C)

Auditors/Financial officer's name *

Auditors/Financial officer's telephone number *

Bank name *

Branch *

Branch code *

Account number *

Account name *

Trade reference *

(1): Name

Telephone number *

(1)

Address

(1)

Terms *

(1)

Trade reference *

(2): Name

Telephone number *

(2)

Address

(2)

Terms *

(2)

List all sureties, cession of debtors, notarial bonds & judgements *

List all liquidations, sequestrations against the business or its principals *

Surety offered to substantiate credit limit *

Account contact person *

Credit request *

(R)

I hereby certify that all above information is correct. I warrant that I am duly authorized to make this application on the debtor’s behalf. I undertake to inform Tems Fresh Meat wholesalers immediately if there are any changes in information supplied *

I certify

Date *

Upload documentation to complete Credit Application *

Click or drag files to this area to upload. You can upload up to 10 files.

Please Attach following Documentation to complete Credit Application:

Copy of the company registration certificate COR 21.1 / 22.
Copy of company vat registration certificate.
Cancelled company cheque or a letter from the bank confirming your banking details.
Proof of address of the business.
Certified copies of I.D’s and proof of residence of the owners/partners of the business.