Global Project Underwriters Ltd - Application form

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Letter of Intent / Loan or Investment Application

Applicant Information
Name
Address
City
State
Country
Postal Code
Telephone No.
Fax
E-mail
Company Information
Name
Company Registration Number
Registered Office Address
City
State
Country
Postal Code
Telephone No.
Fax
E-mail
Registered Agent Name
Address
Telephone No.
Fax
E-mail
Registration Date
City
State
Country
Type of Business
Company Assets Value (USD)
Fixed Assets
Floating Assets
Total Assets
Annual Turnover
Forecasted Turnover
Directors' Details
Name
Share Holding
Corporate Bank Information
Name
Address
City
State
Country
Postal Code
Telephone No.
Fax
E-mail
Corporate Accounting Firm Information
Name
Address
City
State
Country
Postal Code
Telephone No.
Fax
E-mail
Corporate Attorney Information
Name
Address
City
State
Country
Postal Code
Telephone No.
Fax
E-mail
Investment Details
Amount
Purpose
How the investment will be utilised?
Do you have a business plan / project report?
Brief information of the Project
Collateral Security Offered

Applicant / Client hereby warrants, represents and confirms that the information given in this application is true and correct in all material respects. The Applicant/ Client is hereby notified, so that he may not plead ignorance of same, that should any information be proved or discovered to be false or in the event the Applicant/Client has made any misrepresentation or is proved or discovered to have been of bad faith, this application shall stand terminated.

However, the Applicant/Client warrants and undertakes that in the event this application is terminated under the circumstances mentioned above, the Applicant/Client shall be liable to GPUL for all costs, expenses and disbursements incurred by the latter as a result of GPUL’s reliance on information which is not true or correct contrary to the above paragraph.

The Applicant / Client accept and agree that GPUL, reserves the right to reject any application of investment underwriting at its sole discretion. (Without GPUL incurring any liability towards the Applicant/Client).
The Applicant / Client hereby confirms that prior to signing of this application the GPUL has given adequate information on the terms, conditions and procedures to qualify for the project investment.
The Applicant / Client accepts and agrees that prior to signing the Investment Underwriting Agreements, he will obtain all required permissions under standard corporate practice from the applicable jurisdiction, Laws and Authorities of his Country. Also, the Applicant / Client shall ensure that this Application is not in violation of the applicable Laws of the Jurisdiction.
The Applicant / Client hereby accepts, agrees and authorizes GPUL to carry a full due-diligence on any or all information or documentation hereafter exchanged between the Applicant/Client and GPUL.
Since this is a private placement, the Applicant / Client hereby accepts and agrees that information exchanged between the parties are of confidential nature, and any disclosure of the information, to any unauthorised person or third party or to any person who is not a party to this transaction will terminate this transaction. Non-Circumvention and Nondisclosure law are applicable. The obligation of confidentiality shall survive even after the termination of this agreement.

Upon signing of this application, the Applicant / Client irrevocably binds himself and his corporation to the terms of this application.

Applicant's Signature: ____________________________

Applicant Name: __________________________________________