RWCTL - Fiji Development Bank

Revolving Working Capital Term Loan

DISCLOSURE

LOAN DETAILS

Loan Type

New Customer

Further Loan (FDB Existing Customer)

Loan Classification

Agriculture

SME

Corporate

Loan amount sought from Fiji Development Bank

Required Field

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Provide brief details (Short Paragraph) on the Purpose of loan

DECLARATION

Are you/or any of your company directors/shareholders an Un-Discharged Bankrupt, under Official Receiving Order or has assigned total personal or business estate for the benefit of creditors?

Is the company /or any related company under Receivership?

Have you /or any directors/shareholders of the company been involved in a company that was liquidated or under Receivership?

Has any application for any loan to any bank ever been declined?

UPLOADS

Completed Credit Information Reporting Agency (CIRA) Consent Form. Please click on the link to download the CIRA Consent Form (Attached).Click here

Bank Statement for last 6 months

Declaration of external debts – provision of latest loan statement

Audited financial statement for the last 24 months(If applicable)

Projected cash flow (if applicable)

Business plan and MoA assessment of viability of proposal (if applicable)

Farming Experience: applicant must demonstrate farming experience appropriate to project proposed.

Past Production: evidence of farm production for the past 24 months.

FRCS Tax Compliance Certificate

Valid FNPF Compliance

Valid Business Registration Certificate

Right of Land Use & Building - copy of registered title, current lease or approval notice over land to be used by proposed projects, Tenancy Agreement. )

Valid valuation report for landed securities from Bank’s Panel of valuers

Any other notable requirement in line with loan request such as Company’s Board Resolution on this funding.

(A loan decision will not be made unless these documents are uploaded here.)

DISCLOSURE

I/We certify that the information contained in this application and in all continuation tabs and attachments is true, accurate and complete in every particular.

I/We authorize FDB staff to view my/our personal details for the purpose of loan appraisal.

I/We authorise FDB to obtain credit and/or other related checks that may be required regarding my/our accounts and financial arrangements from my/our Bankers or other Financial Institutions or my/our Creditor or other search platforms.

I/We authorize FDB to conduct credit checks on Credit Information Reporting Agency (CIRA).

I/We authorize FDB to share my/our details with the Reserve Bank of Fiji for the purpose of reporting.

I/We have read and understood the General Terms and Conditions of the Revolving Working Capital Term Loan (RWCTL) specified under www.fdb.com.fj and agree to abide by the terms and conditions.

By submitting this loan application and if successful, my/our subsequent acceptance of the loan offer together with the funds disbursed to me/us by FDB, is an absolute confirmation of my/our acceptance of the terms, charges and conditions outlined in Schedule 3 Acknowledgement of FDB’s Rights on Default, Schedule 4 Acknowledgement of Financial Advice, Schedule 5 Statement of Declaration and Authority by Borrower(s), Schedule 6 Acceptance Note, Schedule 7 Surety Acceptance Note and the Fees and Charges (if applicable).

The Applicant’s attention is drawn to Section 41 of the Fiji Development Act 1966 which reads:

“If you willfully fail to disclose any material information within your knowledge, or willfully make any statement which you know
to be false or does not believe to be true, for the purposes of securing a loan from, or any investment in any form by, or assistance
in any form or any facility from the Bank, you shall be guilty of an offence and on conviction shall be liable to a fine not exceeding
one thousand dollars or to imprisonment for a term not exceeding two years, or to both such fine and imprisonment”.

FIJI DEVELOPMENT BANK

PLEASE READ THIS CAREFULLY BEFORE SUBMITTING THE FORM.
BY CLICKING SUBMIT YOU ARE AGREEING TO THE FOLLOWING:

The Applicant’s attention is drawn to Section 41 of the Fiji Development Act [Cap 214] Ordinance 1966 which reads;

I/We certify that the information contained in this application and in all continuation sheets attached is true, accurate and complete in every particular. You are authorized herewith to request any information you may require regarding my/our accounts and financial arrangements with my/our Bankers or other financial Institution or my/our creditors.
Required Field

The Fiji Development Bank (FDB) does not collect personal information for commercial marketing or distribution to any
private organizations, except for reporting with the Reserve Bank of Fiji.

Type of Business Sole Trader Partnership Company Cooperative Required Field
DETAILS
Courtesy Title Required Field
First Name Required Field	Surname Please leave blank if not applicable
Date of Birth (mm/dd/yyyy) Required Field Format-mm/dd/yyyy	Gender Required Field
Nationality Required Field
Residential Address Please leave blank if not applicable
Province Required Field	Postal Address Please leave blank if not applicable
Name of Business Required Field	Business Location Required Field
Please enter your TIN if you are applying for the first time for this Facility. If it is further loan please enter the previous Reference Number example: RWCTL11111.
TIN / Reference Number Please enter your TIN if you are applying for the first time for this Facility. If your are re-applying for this facility, please enter the previous Reference Number example: RWCTL11111
Home Phone Please leave blank if not applicable	Mobile Number Required Field
Business Contact Required Field
Email Required Field	FNPF Number Please enter valid FNPF Number or leave blank
Driving License Number Please leave blank if not applicable	Nearest Branch Required Field
Marital Status Required Field	Spouse Name Please leave blank if not applicable
Spouse Contact Please leave blank if not applicable	Number of Dependents Required Field
Age of Dependents Please leave blank if not applicable	Current Occupation Required Field
Educational Attainment Required Field
Income $0,- $5,000 $5,001- $10,000 $10,001- $20,000 $20,001- $30,000 $30,001- $50,000 $50,001+ Required Field
SME Annual Turnover/Total Assets Small (from $50,000 - $300,000) Medium (from $300,000 - $1,250,000) Required Field
BANK DETAILS
Bank Account Name Required Field
Bank Account Number Required Field	Bank Name Required Field
DISABILITY
(Disclaimer: Please note that FDB will only share statistical data with the Reserve Bank of Fiji. FDB does not discriminate against any form of disability)
Are you living with any form of disability? Required Field
(If you are applying as a Partnership, please fill in JOINT APPLICANT section(s) as well. )

PERSONAL DETAILS JOINT APPLICANT 1
Courtesy Title
First Name	Surname
TIN Maximum 12 Characters
Date of Birth Format-mm/dd/yyyy	Gender
Nationality
Residential Address
Province	Postal Address
Name of Business	Business Location
Home Phone Please Enter Number	Mobile Number Please Enter Number
Business Contact Please Enter Number
Email	FNPF Number Please Enter Number
Driving License Number Please Enter Number
Marital Status	Spouse Name
Spouse Contact Please Enter Number	Number of Dependents
Age of Dependents	Current Occupation
Educational Attainment
Income $0,- $5,000 $5,001- $10,000 $10,001- $20,000 $20,001- $30,000 $30,001- $50,000 $50,001+ Required Field
SME Annual Turnover/Total Assets Small (from $50,000 - $300,000) Medium (from $300,000 - $1,250,000) Required Field
BANK DETAILS JOINT APPLICANT 1
Bank Account Name
Bank Account Number	Bank Name
DISABILITY JOINT APPLICANT 1
(Disclaimer: Please note that FDB will only share statistical data with the Reserve Bank of Fiji. FDB does not discriminate against any form of disability)
Are you living with any form of disability?

PERSONAL DETAILS JOINT APPLICANT 2
Courtesy Title
First Name	Surname
TIN Maximum 12 Characters
Date of Birth Format-mm/dd/yyyy	Gender
Nationality
Residential Address
Province	Postal Address
Name of Business	Business Location
Home Phone Please Enter Number	Mobile Number Please Enter Number
Business Contact Please Enter Number
Email	FNPF Number Please Enter Number
Driving License Number Please Enter Number
Marital Status	Spouse Name
Spouse Contact Please Enter Number	Number of Dependents
Age of Dependents	Current Occupation
Educational Attainment
Income $0,- $5,000 $5,001- $10,000 $10,001- $20,000 $20,001- $30,000 $30,001- $50,000 $50,001+ Required Field
SME Annual Turnover/Total Assets Small (from $50,000 - $300,000) Medium (from $300,000 - $1,250,000) Required Field
Bank Details JOINT APPLICANT 2
Bank Account Name
Bank Account Number	Bank Name
Disability JOINT APPLICANT 2
(Disclaimer: Please note that FDB will only share statistical data with the Reserve Bank of Fiji. FDB does not discriminate against any form of disability)
Are you living with any form of disability?

FIJI DEVELOPMENT BANK PLEASE READ THIS CAREFULLY BEFORE SUBMITTING THE FORM. BY CLICKING SUBMIT YOU ARE AGREEING TO THE FOLLOWING:

DISCLOSURE

FIJI DEVELOPMENT BANK

PLEASE READ THIS CAREFULLY BEFORE SUBMITTING THE FORM.
BY CLICKING SUBMIT YOU ARE AGREEING TO THE FOLLOWING: