Financing Request - GRIP - Global Capital Gateway

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Name

Telephone (please include international dialling code)

Your Role within the Company

Company Name

Country of Incorporation

Year Established

Turnover

Do you have Audited Financial Accounts

YES NO

Years of audited Accounts

Please List ALL countries you do business with:

Please Describe the Nature of your Business

Asset to be Financed or Leveraged

Funding Amount Required/Ticket Size

Tenor

Expected % Rate

Additional Details

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Compliance

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