Application

Application form

Give your business the factoring edge!

Please fill in our Online Application form, if you are interested to join us.
This will help us to accord you priority.
You can also download the application form, if you want to.
(For the Kind Attention of: Managing Director )

For other queries, fill in our contact form. Click here.

1. General Information :
Business Name:
Established:
Registration No:
Address:
City:
State:
Pin:
Telephone:
E-mail:
Principal Contact:
Designation:

2. Business Information :
Type of Business:
	Manufacturer	Wholesaler
	Exporter	Other
Legal Structure:
	Private Ltd.	Public Ltd.
	Proprietorship	Partnership
Product:
Group Companies: (Please list Names and Activities of companies)
1)
2)

3. Sales Information : (Last financial year)

Annual Sales:

Domestic Sales:

Export Sales:

% of Credit Sales:

Countries Sold: (For Export only)
Country 1) 2) 3)	Standard Terms of Payment	Annual Export Sales Volume

For additional export countries please e-mail us.

Bad Debt Experience: (Please indicate below net bad debt losses and largest single loss)

Sales Returns:%

Agents: (Please indicate name and location of company(s) that act as agents for your company and their authority)

Collections: (Please describe the method used for collecting delayed domestic payments in the past)

4. Financial Arrangements:
Name of the Principal Bank:
Bank Limit:
Branch:
Address:
City:
State:	Pin:
Contact Name:	Phone:
(If more than one Bank / Financial Institution is used please e-mail us. )

5. Required Documents:

Audited Balance Sheet and Profit and Loss Account for the last three financial years.
a. A copy of Memorandum and Articles of Association if it is a Public Limited Company.
b. A copy of the Partnership Deed as also Registration Certificate if applicable.
c. A brief writeup about the company including share holding pattern.
Sales literature, sample of Invoices and Credit notes issued.
Letter of offer from banks for facilities obtained.
Copy of Income Tax/ Wealth Tax returns of Directors/ Partners.
Four trade references including Suppliers' name, address, contact name and phone
number.
A cheque for the Application fee of Rs 10,000/- (made payable to Foremost Factors Ltd.)

6. Declaration:

We declare that the information given above is correct and we are not aware of any circumstances which we have not disclosed to you which might influence your decision. We have no borrowing arrangement other than those mentioned herein ; that no legal action has been/ is being taken against us; that there are no statutory dues; that we shall furnish all other information that may be required by you in connection with our application ; that this may also be exchanged by you with any agency you may deem fit; and that you , your representatives / representatives of your financing banks/ institutions, Reserve Bank of India or any other agency as authorised by you, may, at any time, inspect/ verify our assets, books of accounts etc.in our factory and business premises.

BUYER INFORMATION ( 1 )
Buyer Name:
Address:
City:
State:
Postal Code:
Country:
Contact Name:
Phone No:	Fax No :
Annual Sales:
No. of Shipments:	per year
Credit line required on buyer:
Dealing with them since:
Buyer's Bank / Branch:	(if available)
Terms of Payments offered:	(indicate delay if any)
Currency of sale:

BUYER INFORMATION ( 2 )
Buyer Name:
Address:
City:
State:
Postal Code:
Country:
Contact Name:
Phone No:	Fax No :
Annual Sales:
No. of Shipments:	per year
Credit line required on buyer:
Dealing with them since:
Buyer's Bank / Branch:	(if available)
Terms of Payments offered:	(indicate delay if any)
Currency of sale:

BUYER INFORMATION ( 3 )
Buyer Name:
Address:
City:
State:
Postal Code:
Country:
Contact Name:
Phone No:	Fax No :
Annual Sales:
No. of Shipments:	per year
Credit line required on buyer:
Dealing with them since:
Buyer's Bank / Branch:	(if available)
Terms of Payments offered:	(indicate delay if any)
Currency of sale: