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sefa Product Application Form

Accessible Development Financesefa Product Application Form01 LICENSED CREDIT PROVIDER (NCRCP 160) PAGEOF 11 LOAN Application FORMSECTION A: COMPANY INFORMATION(To be completed by borrowing legal entity)COMPANY DETAILSCIPC Registered NameTrading NameType of BusinessIndustry (Sector)Registration NumberRegistration DateDDMM CCYYT elephone 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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