• Purchase Order Funding Application Form

    Please Complete The Application Form
  • Company details

  • Format: (000) 000-0000.
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  • Applicant personal details

  • Format: (000) 000-0000.
  • Marital Status:*
  • Marital Contract:
  • Format: (000) 000-0000.
  • Transaction details

  • Supporting documents

    NB! the success of your application will depend on the uploaded supporting documents. Please ensure that all documents are up to date and correct.
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  • Agreement & signature

  • In addition to the above provided information, I         with Identity Number      being the duly authorised representative of the Applicant herewith confirm that:

  • The Applicant has an annual turnover or asset value in excess of R1 000 000.00:*
  • Directors or Members of the Applicant is currently or were recently under debt review in terms of the National Credit Act;*
  • The Applicant has been under business rescue or provisional liquidation;*
  • There are pending or threatened litigation against the Applicant or any of itsdirectors/members.*
  • The Growfin, its affiliates and/or funding partners, are authorised to conduct searches and the necessary analysis regarding the Applicant’s and the Applicant’s directors/members’ creditworthiness and credit ratings.*
  • Funding application terms and conditions.

    Eligibility: The PO Funding Application is open to all legal entities that meet the criteria set forth in the application.
    Application Requirements: The PO Funding Application must be completed in full and submitted with all required supporting documents.
    Evaluation Criteria: The PO Funding Application will be evaluated based on the following criteria: financial stability, market potential, management team, and overall business plan.
    Award Notification: Awardees will be notified within 14 days via email.
    Use of Funds: Funds must be used for the purpose stated in the PO Funding Application and in accordance with all applicable laws and regulations.
    Reporting Requirements: Awardees are required to submit regular financial and progress reports to the PO Funding Committee.
    Termination of Award: The PO Funding Committee reserves the right to terminate the award at any time if the awardee fails to comply with the terms and conditions of the PO Funding Application.
    Confidentiality: All information contained in the PO Funding Application and any related materials will be kept confidential.
    Limitation of Liability: The PO Funding Committee will not be liable for any damages arising from the use of funds provided through the PO Funding Application.
    Governing Law: The PO Funding Application and these terms and conditions will be governed by the laws of South Africa.
    Dispute Resolution: Any disputes arising from the PO Funding Application will be resolved through arbitration in accordance with the rules of ADR Access

  • I,   *   *   hereby declare that the above mentioned information is true to the best of my knowledge and belief, and that I agree to the terms and conditions of this funding application.

  • Should be Empty: