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Instant Working Capital Application Form
 
Fill out this form to apply for the DBP INSTANT WORKING CAPITAL. Our account officers will attend to you soonest.
 
DBP adheres to the privacy terms.
 
Last Name:
First Name:
Address:
Contact Person:
Contact Person's Position:
Home Phone Number:
Mobile Phone Number:
Fax Number:
Primary E-mail Address:
Secondary E-mail Address:
What is the nature of your business?
What is your business structure?
How long have you been in business?
Monthly Sales Volume:
Annual Sales Volume:
Average Invoice Size:
Terms Given: days
Number of Customers:
Average Monthly Sales
(5 Biggest / Active Customers)
  Client Name Average Monthly Sales
1
2
3
4
5
Are you currently Factoring? No Yes Name of Bank:
Do you have any current loan? No Yes Name of Bank:
Receivables Mortgaged / Assigned:
 
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