APPLICATION FORM
MALAYSIAKITCHEN FINANCING
FACILITIES
Please Tick () where appropriate:
MalaysiaKitchen Financing Facility
MalaysiaKitchen Financing-i
Loan Amount Applied
For Bank’s Use Only: Applicant For Bank’s Use Only :
NAME OF APPLICANT
ITEM DATE
Received by: Acknowledgement by: Assigned to:
FACILITY APPLIED Reviewed by:
APPLICANT:
Page 1 of 4 1.0 INFORMATION ON APPLICANT 1.1 APPLICANT Company Name Correspondence Address Registered/Office AddressCompany Registration No. Purpose of Facility
Principal Activities Authorized Capital
Date of Incorporation Paid-Up Capital
Date of Commencement of Business Company Website Contact Person 1
Telephone No. Mobile No.
Fax No. Email
Contact Person 2
Telephone No. Mobile No.
Fax No. Email
1.2 COMPANY SHAREHOLDER(S) Name Nationality Shareholding Amount % i. ii. iii.
Note: Kindly attach the additional shareholders information as Appendix.
1.3 COMPANY OVERSEAS
Company Registration No. Principal Activities
Date of Incorporation Authorized Capital Date of Commencement of Business Paid-Up Capital
1.4 COMPANY SHAREHOLDER(S) OVERSEAS (if applicable)
Name I.C. No./
Passport Nationality Position Qualification/Experience Ownership (RM) %
i.
ii.
iii.
Total Ownership
2.0 BRIEF PROPOSAL DETAILS
2.1 THE RESTAURANT
Purpose of Facility
(Please explain in detail in your business plan)
Setting up new restaurant overseas Increase number of restaurant/outlet Subscribe to Franchise Program Taking over a restaurant/outlet
Renovation/upgrading existing restaurant/outlet
Name of Proposed Restaurant Country
Detailed Concept of Proposed Restaurant
2.2 LOCATION ADDRESS(ES)
Details Opening Date Proposed Address
Restaurant No. 1
Restaurant No. 2
Restaurant No. 3
Restaurant No. 4
Restaurant No. 5
Note: For additional locations, please provide as Appendix.
2.3 RESTAURANT PREMISES OWNERSHIP
Type Area (sq. ft) Tenure / Year Left Monthly Lease/
Monthly Rental Lease/Rental Deposit Name of Restaurant Lease
Rental
Own
2.4 MENU
Type No. of Menu % No. of Menu for Breakfast No. of Menu for Lunch No. of Menu for Dinner Malaysian Oriental Western Fusion Others TOTAL 100
APPLICANT:
02/11-11 Page 3 of 4
3.0 TO FACILITATE OUR PROCESSING, PLEASE SEND US “CERTIFIED TRUE COPY” OF THE FOLLOWINGS:
IMPORTANT: Kindly ensure that all documents in foreign language are to be translated into either Bahasa Malaysia or English language.
1. Corporate Profile of Applicant (Business Registration, M&A, Forms 24, 44 and 49 or equivalent in overseas country). 1.
2. Organisation Chart, Subsidiary and/or Associate Company; Profile of Directors/ Shareholders, Senior Management (together with a copy of their NRIC/Passport); 2.
3. Applicant’s Audited Financial Statements for the last three (3) years and the latest Management Account; 3.
4. Details of Applicant’s existing borrowing (including Hire Purchase and Leasing facilities); 5.
5. Cash Flow Projections with assumptions (to follow the facility tenor); 6.
6. Business Plan (for newly set-up business) or Expansion Plan (for ongoing business) (where applicable); 7.
7. Profile of Corporate Guarantor (Business Registration, M&A, Forms 24, 44 and 49. 3.
8. Corporate Guarantor’s Organisation Chart, Subsidiary and/or Associate Company; Profile of Directors /Shareholders, Senior Management( together with a copy of their NRIC/Passport );
9.
9. Corporate Guarantor Audited Financial Statements for the last three (3) years and the latest Management Account (if applicable); 10.
10. Details of Corporate Guarantor’s existing borrowing (including Hire Purchase and Leasing facilities); 11.
11. Profile of Personal Guarantors together with a copy of their NRIC and/or Passport and Net Worth Declaration Form; 12.
12. Information on market (industry background, demand and supply, competitor, market share, information on existing project similar to the Project, etc.); 13.
13. Relevant documents pertaining to approvals from local authorities to undertake the Project; 4.
14. SWOT Analysis of the Company; 15.
15. Profile of Contractor/Supplier/Consultant both local and overseas; 16.
16. Premise Title Deed and Rental/Lease Agreement; 17.
17. Authorization Letter (Appendix A); 18.
18. Technical Checklist:
a. Detail description of the scope of works which describes the affected works comprise demolition, rectification, painting, interior design, electrical, mechanical, landscape, etc;
5. b. The detail breakdown of cost detailing the work elements involved;
6. c. The floor layout and elevation drawing with dimension showing the dining hall, seating arrangement, kitchenette area and the height of the premises/property; 7. d. Photos of the existing site/premise prior to the execution works commencement with angle of view of front, rear and side elevation;
8. e. Built up gross floor area of restaurant;
9. f. The status of ownership of the property whether owned or rented property, tenancy agreement, document of the premises or the ownership title deed; 10. g. Relevant permits and licenses from local authority permitting the renovation;
11. h. The name and profile of the potential contractors, suppliers and designers who will undertake the execution of the construction of the project, may be possible to have their quotation of the trade of work involved in the execution of the scope as mentioned above;
12. i. The status of design works, or progress of the works that have been completed on site. (relevant for reimbursement financing); 13. j. The likely duration of the proposed scope of works to be completed. The program baseline showing major milestones.
We hereby declare that all the details given are true to the best of our knowledge and hereby give our consent to EXIM Bank to conduct the necessary credit checking with the relevant agencies.
Authorized Signatory Company Stamp
Name
Designation Date
HOW DID YOU GET TO KNOW EXIM BANK? CONTACT PERSON
Please tick () Where Applicable Name Direct Line Email
Seminar/Talk/Exhibition Business Associates/Friends Visualingam Veeraperumal (603) 2601 2050 [email protected]
Media (TV, Billboard, etc.) Azrin Azizuddin (603) 2601 2089 [email protected]
Others (please specify): Nik Khairul Adli Nik Rasdee (603) 2601 2107 [email protected]
* Do not make changes to the forms without permission from EXIM Bank.
Other Conditions:
1. The Applicant/Customer shall not under any circumstances offer, promise or make any gift, payment, loan, reward, inducement, benefit or other advantage to any of the Bank’s employees, members of the Boards of Directors, representatives and/or agents in relation to this application/facility/agreement. Such acts are criminal offences under the Malaysian laws and shall entitle the Bank and without prejudice to the Bank’s other rights and remedies, to terminate the application/facility/agreement forthwith, and the applicant/borrower shall be liable for all consequential losses incurred by the Bank as a result of such termination, and shall indemnify and render the Bank harmless from all such costs. The Bank is also entitled to report the same to the relevant authorities including but not limited to the Malaysian Anti-Corruption Commission and/or the Royal Malaysian Police. 2. All traveling expenses, charges and any whatsoever out-of-pocket expenses incurred under, in respect of or in connection with the processing of this
financing application including but not limited to the cost of inspections and visits of the project(s) to be financed under the Facility by EXIM Bank, its employees, agents, or other consultants at such intervals and in such manner as may be determined by EXIM Bank in its absolute discretion shall be borne by the Customer.
Please send your application with your supporting documents to :
Export-Import Bank of Malaysia Berhad Level 1, EXIM Bank Jalan Sultan Ismail 50250 Kuala Lumpur
Tel: (603) 2601 2000 Fax: (603) 2601 2453 Website Address : www.exim.com.my
