sefa Product Application Form

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Accessible Development Financesefa Product Application Form01LICENSED CREDIT PROVIDER (NCRCP 160) PAGEOF 11LOAN Application FORMSECTION A: COMPANY INFORMATION(To be completed by borrowing legal entity)COMPANY DETAILSCIPC Registered NameTrading NameType of BusinessIndustry (Sector)Registration NumberRegistration DateDDMM CCYYTelephone NumberFax NumberE-mail AddressVAT Registration NumberTax Reference NumberPhysical AddressProvinceCodePostal AddressProvinceCodeShould sefa contact you for telemarketing purposes?Ye sNoPeriod in Business (Years)Number of Current EmployeesNew jobs expected to be createdHow did you hear about sefa?(Tick applicable box)RoadshowRadioWord of MouthOutdoor Advertising ( Billboard, Pamphlet, etc.)

O 10 GE 01 11 LOAN APPLICATION FORM SECTION A COMPANY INFORMATION (T ro COMPANY DETAILS CIPC Registered Name Trading Name Type of Business Industry (Sector)

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