Application: purchase

order finance.

Application: Purchase Order Finance.

Please only fill out this form if you were referred to The X Quotient by a particular person. If you were not referred by anyone, please fill out the form on this page: https://thexquotient.com/application-form/

APPLICATION: PURCHASE ORDER FINANCE - REFERRAL

DETAILS OF REFERRAL

APPLICATION FORM

BUSINESS INFORMATION

DIRECTORS OF THE COMPANY

If you have more than 4 directors in your company, please email us at pieter@thexquotient.com

25% OR MORE SHAREHOLDERS

Please complete the details of all shareholders who hold 25% or more of the shares of the company below.
Shareholder 1 Details
Shareholder 2 Details
Shareholder 3 Details
Shareholder 4 Details
Please enter percentage.
Please enter percentage.
Please enter percentage.
Please enter percentage.

PERSONAL CONTACT INFORMATION - DIRECTOR 1

Director 1
Director 1
Director 1
Director 1
Director 1
Director 1
Director 1
Director 1
Director 1
Director 1
Director 1
Director 1

BANK DETAILS

PURCHASE ORDER TRANSACTION INFORMATION

DOCUMENTATION REQUIRED

Click or drag a file to this area to upload.
Click or drag files to this area to upload. You can upload up to 4 files.
Click or drag files to this area to upload. You can upload up to 4 files.
Click or drag files to this area to upload. You can upload up to 4 files.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.

Terms & Conditions