Small and Medium Enterprise Sustainability Package


Sole Trader        Partnership        Company        Cooperative       
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DETAILS

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Please enter valid FNPF Number or leave blank
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$0,- $5,000        $5,001- $10,000        $10,001- $20,000        $20,001- $30,000        $30,001- $50,000        $50,001+       
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Small (from $50,000 - $300,000)        Medium (from $300,000 - $1,250,000)       
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BANK DETAILS

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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)
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(If you are applying as a Partnership, please fill in JOINT APPLICANT section(s) as well. )

PERSONAL DETAILS JOINT APPLICANT 1

Maximum 12 Characters
Format-mm/dd/yyyy
Please Enter Number
Please Enter Number
Please Enter Number
Please Enter Number
Please Enter Number
Please Enter Number
$0,- $5,000        $5,001- $10,000        $10,001- $20,000        $20,001- $30,000        $30,001- $50,000        $50,001+       
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Small (from $50,000 - $300,000)        Medium (from $300,000 - $1,250,000)       
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BANK DETAILS JOINT APPLICANT 1

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)

PERSONAL DETAILS JOINT APPLICANT 2

Maximum 12 Characters
Format-mm/dd/yyyy
Please Enter Number
Please Enter Number
Please Enter Number
Please Enter Number
Please Enter Number
Please Enter Number
$0,- $5,000        $5,001- $10,000        $10,001- $20,000        $20,001- $30,000        $30,001- $50,000        $50,001+       
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Small (from $50,000 - $300,000)        Medium (from $300,000 - $1,250,000)       
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Bank Details JOINT APPLICANT 2

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)


DISCLOSURE

LOAN DETAILS


New Customer        Further Loan (FDB Existing Customer)       

Agriculture                     SME       
Required Field, minimum amount is $5,000 and maximum amount is $100,000

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DECLARATION













UPLOADS

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

DISCLOSURE

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;

“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”.


       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.
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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.