APPLICATION FOR CREDIT WITH SUPPLIER

The above entity is referred to as the Applicant in this application. If the above entity is a partnership or a trust with more than one trustee, the partners or trustees (as applicable) are also collectively referred to as the Applicant in this application).

Carrier Details

NOTES FOR COMPLETING THE BELOW:

• If the entity applying for credit is a partnership or a trust with more than one trustee, please set out the full name, address, date of birth and drivers licence number and ACN/ABN (as applicable) of each partner/trustee on a separate page if there is insufficient space below.
• If the entity applying for credit is a sole trader who is an individual, please set out the full name, address, date of birth, ABN and drivers licence number (as applicable) of the sole trader, on a separate page if there is insufficient space below.

Full legal name and address of each of the Directors/Partners/Sole Trader:

If the applicant is a Company, are its assets subject to secured interest such as general security agreement, charge or a debenture mortgage?

Has the Applicant or any person associated with the Applicant (including a director of the Applicant, if a company) ever been declared bankrupt, been the subject of an agreement or arrangement (as a debtor) under Part X under the Bankuptcy Act 1966 (Cth), had any of the things described in clause 8(a)(v) or (vi) of the terms and conditions of trade occured to them, or been involved as a Director and/or Shareholder of an insolvent company (or one to which any of the things described in clause 8(a)(v) of the terms and conditions of trade has occured), or entered into a deed of company arrangement (DOCA) with creditors of the company?

Trading References (one of which must be the Applicant's main banker):

The below documents are available on our website:

Terms and Conditions

Acknowledgements, Undertakings and Agreement

Deed of Guarantee and Indemnity