Project Funding Application

Information shared in the application will be held in the strictest confidence.

COMPANY / PROJECT INFORMATION

Registered Company Name*

Registered Company Address*

Incorporation Information*

Major Shareholders and share*

Name of Project Owner*

Position*

Contact Numbers*

Email Address*

Name of 2nd Contact Person*

Position*

Contact Numbers*

Email Address*

Bankers & Auditors*

FUNDING DETAILS

Funding Required (in US$)*

Project Location*

Equity of Project Owner % *

Cash Funds available*

Proof-of-Funds (POF) capability and Date of availability of cash funds *

PROJECT DETAILS

Use of Project Funding*

Schedule & Description*

Entity to be Funded (new or existing company)*

Project / Business Overview*

Your Project / Business Competitive Advantages*

Your Key Customers*

Is there any existing Real Estate in the project?*

Your current key resources and assets*

Are there any 3rd parties Consulting Fee and Equity involved? Provide full details.*

What are the available exit options for the investors?*

Name your key competitors*

OTHERS

Your Current Investment in the Project*

Have you had any past personal or corporate judgments, liens, lawsuits, criminal cases, convictions, foreclosures, or bankruptcies? Do you have any other active or pending lawsuits that we need to know about before submitting your project to us?*

Describe your vision for the project and how it could benefit the local communities*

Any other disclosure*

By submitting this application, I affirm that all information provided is accurate and complete to the best of my knowledge and understand that any misrepresentation may result in the rejection of my application. I acknowledge my responsibility to adhere to Tenet DFS's policies and procedures regarding project funding requests.

Name: *

Date:*

Place:*