GERMANI TRANSPORT (PTY) LTD T/A GG HEAVY HAULAGE REG NR: 2004/013307/07

Transcription

1 GERMANI TRANSPORT (PTY) LTD T/A GG HEAVY HAULAGE REG NR: 2004/013307/07 P.O. Box / Posbus 265 TEL NR: GORDONS BAY/ BAAI FAX NR: CREDIT APPLICATION, INFORMATION STATEMENT AND AGREEMENT TO: GERMANI TRANSPORT (PTY) LTD FROM: Full Name of Applicant:... Actual Trading Name:. Sole Proprietor Partnership Registered Company Close Corporation Other Nature of Business:.. Branches:. Registration Number/ID Number:. Date Established.. Vat Registration Nr:. Postal Address: Physical Address: Address of Registered Office (if Company).. Tel No: Fax No:. Contact Person Accounts:. Tel No:.. Contact Person Operations: Tel No:.. Auditors: Tel No:. Page 1 of 6

2 Details of the Directors, Members, Partners, Trustees: Full Name ID Number Residential Address % Interest Tel No: (If space insufficient, add a separate annexure signed by authorized signatories) Trade References: Business Name Supplier Acc No. Contact person Name Telephone No. Average Purchases: (If space insufficient, add a separate annexure signed by authorized signatories) Monthly Credit Limit Required: R.. Total Credit Required: R.. BANKERS: BRANCH.ACC NO:. I/WE THE UNDERSIGNED, EACH WARRANT THIS TO BE TRUE AND CORRECT AND TO ADVISE YOU OF ANY CHANGES IN THE INFORMATION SUBMITTED. I/WE ALSO AGREE THAT THIS WILL FORM THE BASIS OF ANY CREDIT GRANTED, AND AN INTEGRAL PART OF ALL CONTRACTS ENTERED INTO WITH GERMANI TRANSPORT (PTY) LTD. I/WE, FURTHER, EACH ACCEPT INDEPENDENT FULLY LIABILITY AS CO-PRINCIPAL DEBTOR FOR PAYMENT OF ALL AMOUNTS TO BECOME OWING TO YOU BY THE BUSINESS AND ANY DAMAGES THAT YOU MAY SUFFER DUE TO INACCURACIES OCCURING HEREIN. YOU MAY COMPROMISE ANY CLAIM AGAINST ANY OF US HEREUNDER, OR DISCOUNT SAME WITHIN PREJUDICE TO YOUR RIGHTS AGAINST THE REMAINDER OF US. I/WE THE UNDERSIGNED CERTIFY THAT I/WE ARE DULY AUTHORISED TO ACT ON BEHALF OF THE APPLICANT. I/WE FURTHER ACKNOWLEDGE HAVING RECEIVED AND READ THE STANDARD CONDITIONS OF CARRIAGE OF GG HEAVY HAULAGE AND ACCEPT AND AGREE THAT ALL GOODS WILL BE CONVEYED SUBJECT TO THESE CONDITIONS. I/WE, THE UNDERSIGNED, HEREBY AGREE THAT THE FULL OUTSTANDING BALANCE OF OUR ACCOUNT MUST BE PAID WITHIN 30 DAYS OF STATEMENT AND THAT INTEREST OF 1.5% PER MONTH WILL BE CHARGED ON ANY AMOUNT NOT PAID WITHIN THE SAID 30 DAYS AND THATIF ANY AMOUNT IS NOT PAID ON DUE DATE THE FULL OUTSTANDING AMOUNT AS AT THAT DATE WILL BECOME DUE AND PAYABLE. I/WE, THE UNDERSIGNED, EACH AGREE, AND CONSENT TO THE FOLLOWING. Page 2 of 6

3 THE CREDIT GRANTOR MAY: (a) Conduct a credit search (b) Monitor our payment record, by researching our records at one or more credit bureau or other credit grantors. (c) Use information and data obtained, in respect of future credit granting. (d) Record the existence of this account with any credit bureau, or other credit grantors. (e) Record and transmit details of how this account is conducted, and how obligations are met. (f) Use the information obtained from one or more credit bureau, or other credit grantors, to assess future credit applications. (g) Transmit data and information to their marketing department, who may contact the applicant to extend business relationship. (h) In the event of default, transmit the information to one or more credit bureau, or other credit grantors, or the Attorney/debt collectors of the credit grantor. Full name.. Signature: Capacity:.. Date:../../ Full name.. Signature: Capacity:.. Date:../../ CHECK LIST COPY OF REGISTRATION DOCUMENT COPY OF ID DOCUMENTS OF MEMBER/DIRECTOR/OWNER COPY OF VAT REGISTRATION DOCUMENT LETTER OF BANK OR COPY OF CANCELLED CHEQUE COMPANY LETTERHEAD PROOF OF ADDRESS Page 3 of 6

4 DEED OF SURETYSHIP AND CESSION OF CLAIMS TO: GERMANI TRANSPORT (PTY) LTD I, the undersigned,.. (Print full names of surety/cedent) ID no Of.. (Print full Physical address) Do hereby: 1. Pledge and cede to you all present and future claims whatsoever nature and howsoever arising which I have against.. Name of debtor and registration number ( the debtor )as a continuing covering security for each and every present and future indebtedness and obligation I may have to you, howsoever arising or having arisen; 2. Bind myself as surety and co-principal debtor jointly and severally in your favor for the due and proper fulfillment of all the obligations of, and for the punctual payment of all sums which are or may become due by the debtor to you from whatsoever cause arising; 3. Renounce the benefits of: 3.1 excussion by renouncing this benefit, I understand that you become entitled to sue me for the full amount owing under this document without first proceeding against the Debtor; 3.2 division - by renouncing this benefit, I understand that where there may be more than one surety for the debtors obligations, you will be entitled to sue each such surety for the full amount owing by the debtor and not only for a pro rata share. 3.3 cession of action by renouncing this benefit, I understand that you will be entitled to sue me without first ceding your right of action against the debtor to me provided always that my liability in terms hereof shall be limited to the total amount reflected in your accounts as owing by the debtor to you. Page 4 of 6

5 Signed at.on this day of 20.. As witnesses: SURETY/CEDENT Accepted by Germani Transport (Pty) Ltd Signed at on this..day of.20 As witnesses: Germani Transport (Pty) Ltd..... duly authorized thereto Page 5 of 6

6 FOR OFFICE USE: Application accepted and approved by GG Heavy Haulage Credit Limit approved: R Amount in words:.. Payments Terms approved: 30 days from date of statement Name of GG Representative:. Comments:. Signature: Date:../../ Page 6 of 6