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Business Credit Report Request Form 1.3

The document is a Metropol Business Credit Report Request Form used for businesses to request their credit reports from Metropol Credit Reference Bureau Ltd in Nairobi, Kenya. It requires detailed business identification, contact information, director information, and the reason for requesting the credit report. Additionally, it includes a certification clause and options for how the credit report should be delivered.

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alhaj.2hamsu
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25 views2 pages

Business Credit Report Request Form 1.3

The document is a Metropol Business Credit Report Request Form used for businesses to request their credit reports from Metropol Credit Reference Bureau Ltd in Nairobi, Kenya. It requires detailed business identification, contact information, director information, and the reason for requesting the credit report. Additionally, it includes a certification clause and options for how the credit report should be delivered.

Uploaded by

alhaj.2hamsu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MetropolBUSINESS CREDIT REPORT

REQUEST FORM Credit Reference


Bureau Ltd
st
1 Flr, Wing A, Shelter Afrique, Upper Hill, Longonot Road
[Link] 35331-00200 Nairobi, Kenya
Tel: +254 (20)2713575, +254 (20)2689881
+254 734 730787, +254 702 245400
creditbureau@[Link]
[Link]

BUSINESS IDENTIFICATION DETAILS

Registered Name:

Trading Names:

Date of registration: Registration Number: PIN Number:

Line of Business:

LEGAL STATUS (Tick Appropriate)

Limited Liability Company: Partnership: Sole Proprietorship:

Others: Please Specify:

CONTACT DETAILS

Physical Trading Address:

Postal Address: Postal Code: Town: County:

Telephone Number(s): Fax Number(s):

Email: Website:

DIRECTORSHIP

Number of directors:

DIRECTOR 1:
Name & Designation:

National ID Number: Date of Birth:

Telephone Number(s): Email:

Residential Address:

DIRECTOR 2:
Name & Designation:

National ID Number: Date of Birth:

Telephone Number(s): Email:

Residential Address:
REASON FOR REQUESTING CREDIT REPORT (TICK APPROPRIATE)

Business Interest: Credit was denied:

Others: Please specify:

I / We would like to receive our credit report & any other correspondents via:

Email: Postal Address: Collection at our office:

If you wish Metropol CRB to forward your credit report to the institution directly, tick appropriately.
Yes Name of Institution
No
Please attach a copy of the Certificate of Incorporation, PIN certificate & National ID’s/Alien Registration
Certificates/ Passports of the undersigned directors.
I/ We hereby certify that the information and documentation provided in response to the questions herein are true, complete and aut hentic.

I understand that the presentation of forged documents or the passing off of any documents issued by a lawful authority to another person as my own, for purposes
of obtaining any right or privilege, is a criminal offence.

I/We confirm that I/We want our credit report delivered to us through the e-mail/postal address indicated herein and hereby authorize Metropol CRB Ltd to
mail/deliver/send our credit report to the e-mail/postal address indicated herein. I/ We release Metropol CRB Ltd and its officers, employees and agents from all
claims, actions or proceedings of whatsoever nature and howsoever arising, suffered or incurred in connection with Metropol CRB Ltd sending/delivering /mailing our
credit report to the addresses that I / We have provided herein.

Director 1 - Name: Date: / / Signature:

Director 2 - Name: Date: / / Signature:

FOR OFFICIAL USE ONLY

Evaluated/Screened By Credit Report Generated By

Name: Name:

Designation: Designation:

Signature: Signature:

Date: Date:

Remarks:

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