Dear Valued Partner,

Please supply the following information which will enable the management of Dubai
International Financial Centre to understand your business and enable us to determine whether
we are able to support your business with loan facilities.
If you have already prepared a business plan please attach it to this application form and
cross reference the questions in the form to it as appropriate.

We will contact you if additional information is required.

All information provided in this application will remain confidential and will be reviewed
only by those persons involved in the lending decision.
If we approve your application a copy of verification documents for loan applicants will
Be required -
i.e. Identity confirmation (e.g. passport or full driving license) and address confirmation
(e.g. utility bill)

SECTION A – Applicant Details

1) Applicant name(s):__________________________________________________________

2) Business name: ____________________________________________________________

3) Business address: _________________________________________________________

______________________________________________________________________

Registered address (if different)

4) Post code Business telephone number: _________________

5) E-mail address: ______________________________________

6) Business type (please tick as appropriate)

(a)Sole Trader (b) Limited Company
(c)Partnership (d) Other 

7) Company Registered Number (if applicable):_____________________

8) Date business established: ____________________________________

9) Accounting year end: _________________________________________

10) Brief description of what business does:

_________________________________________________________________

If the business is a partnership please complete section (11)

11) Partnership - Names of Partners and Partnership shares:

(a)Name: ___________________________________________
Equity Held: _________________________________________
(b)Name: ____________________________________________
Equity Held: _________________________________________
(c)Others: ___________________________________________

SECTION B – General information about the loan request

1) Why are you applying for the loan? (Give a brief description of the project/purpose of
the loan e.g. Purchase of machinery and working capital)
________________________________________________________________
______________________________________________________________________

2) Total cost of project (to match A below) ________________________

3) Loan amount requested (to match B below) ____________________________________

4) Over what period? (Maximum 5years)________________________________________

5) Do you wish to repay by monthly or quarterly installments? ______________________

6) Do you require a capital repayment holiday? Yes.No

If so for how long? (Maximum 6 months)________________________________________

7) What are the detailed project costs?

$______________
$______________

Equipment/machinery working capital other items (please specify)

$____________
$____________
$____________
Total cost of project ( A )
Less loan from DIFC ( B )
$____________________
$____________________
Total of non DIFC funding (C) $___________________

5) What are the sources of the non DIFC funding?

Your own financial contribution_____________
Bank loan/overdraft_______________________
HP/leasing______________________________
Grants__________________________________
Any other source of funding (please specify amount)
$______________________
$______________________
$______________________
$______________________
Total of non DIFC funding (C)
$_________________________

SECTION C – Financial Results

1) Historic Accounts – Last 2 Years *
Year Ending
00/00/200_
$______________
00/00/200__
$______________
Sales:_________________
Gross profit:_____________
Overheads:_______________
Net profit before interest, tax & drawings (see 3 below)
Fixed assets: ______________________
Plus stock: ________________________
Plus debtors & prepayments: __________________________
Plus cash: ___________________
= Total assets: _____________
Less creditors & accruals: _____________________
Less other borrowings/liabilities
= Net Capital Employed: ______________
Number of employees: __________________

*Above Not applicable to start up businesses

SECTION D – Bank Account Details for receipt of Loan advance

Bank name: _________________________________________________

Bank Address: ____________________________________________________

Swift Code: __________________________

Sort Code: ___________________________

Account Number: _____________________________________________________

Name of Account as shown in your Cheque Book: _________________________

SECTION E – General

1) Number of existing full-time equivalent employees: ____________

2) Over the period of the loan, how many full-time equivalent jobs will be
(a)created______
(b) Safeguarded______

3) Has any owner, partner or director of the business

a) Been convicted of fraud or any other offence involving dishonesty? Yes.No
b) Been adjudged bankrupt or subject or a personal voluntary creditors
Arrangement? Yes. No
c) Been a director (or substantial shareholder) of a company in liquidation or
receivership or subject to a creditors voluntary arrangement or for which an
administrator has been appointed? Yes. No
d) Been disqualified from the Board of Directors of a company? Yes.No
e) Had judgment entered against you in the county court? Yes.No
If the answer to any of the above is YES please give details below:
It is important that you read and understand the following section in this application form
Entitled.

YOUR INFORMATION – CREDIT REFERENCE AND FRAUD PREVENTION AGENCIES.

By signing this application you agree that we can use your information in this way.

YOUR INFORMATION – CREDIT REFERENCE AND FRAUD PROTECTION AGENCIES

Although you may have supplied us with a credit reference search we may also make
Searches about you at credit reference agencies who will supply us with credit information as
well as information from the Electoral Register.
The agencies will record details of the search whether or not this application precedes. We may
use credit scoring methods to assess the application and to verify your identity. Credit searches
and other information which is provided to us and/or the credit reference agencies, about you
and those with whom you are linked financially, may be used by Dubai International Financial
Centre and other companies if credit decisions are made about you, or other members of your
household. This information may also be used for debt tracing and the prevention of money
laundering as well as the management of your loan.

When you borrow or may borrow from us, we may give details of your account and how
we manage it to credit reference agencies.
If you borrow and do not repay in full and on time we may tell credit reference agencies
who will record the outstanding debt.
You have the right of access to your personal records held by credit reference and fraud
agencies

I/We wish to apply for a loan from Dubai International Financial Centre as detailed on this
application form and confirm that I/we have not been able to find any other way of obtaining this
money.
We confirm that the information on this Application Form is correct to the best of our
knowledge and belief and agree that DIFC may make any enquiries it thinks fit regarding this
application.

Signature of Applicant: ______________________________________

Name: _____________________________________________________

Company: __________________________________________________

Date: / / / /

Official Use

Verification officer: ____________________

Position

Date: / / / /

Official Seal: _____________________________________

Authentification code:

© Dubai International Financial Centre 2009. All Rights Reserved.