HOTEL : DUSIT D2 Khao Yai
C R E D I T A P P L I C A T I O N F O R M
( PLEASE PRINT OR TYPE )
(A) COMPANY PROFILE
Trade Name :
Full Corporate Name
Addresses
Telephones Fax No. Telex No.
E-mail Address
Business Registration No. Tax I.D. No.
I A T A No. T T A A No.
( Member of Int’l. Association of Travel Agencies) ( Member of Thai Travel Agencies Association )
ATTA No.
( Member of Association of Thailand Travel Agencies)
Principal Office Premises :
Own Rent Years Leasing Expired Date
Mortgaged With Bank / Branch Name
Nature of Business
Business Histories
Current Activities
Sales Information, Policy
and Volume
Credit References ( in Thailand & Local Area )
1. Hotel 2. Hotel
Credit Line Credit Line
Established Date Established Date
3. Hotel 4. Hotel
Credit Line Credit Line
Established Date Established Date
Billing Cycles
Invoice Receiving Date Cheques Pick up Date
(B) FINANCIAL INFORMATIONS
Bank Accounts
1 Account Name Bank Branch A/C Type Account No.
2
3
(C) Name of the Authorized Director
Name of the Guarantor
(D) Credit Request :
Credit Term Days Credit Limit Local Currency
Credit Limit U.S. Dollars
(E) Documentation Requirement.
1 Copy of I.D. Card or Passport of the authorized Director (s). Managing Partner, work permit (in case of foreigner)
2 Copy of Household Registration of the above person (s)
3 Copy of bank statement for the past 6 months.
4 Copy of Tax Certificate.
5 Copy of the affidavit of a company or a partnership issued by the Commercial Registration Department.
6 Copy of Tourist Agency Business License issued by Tourist Authority of Thailand.
7 Copy of Certificate of Possessory Right on office premises.
(F) Guarantor
1 Copy of I.D. Card or Passport of the Guarantor (s), work pemit ( in case of foreigner )
2 Copy of Household Registration of the above person (s)
3 Copy of bank statement for the past 6 months of the Guarantor
(G) Endorsement
By signing below, I / we request that the credit be granted to me/us, I / we hereby authorize you and
any person (s) appointed by you to zccess and verify any informations provided to you hereunder or any related informations required by you. I / we agree to be bound by terms and conditions agreed upon between I / we and an owner of the hotel applies. I hereby warrant that all the above information is true and correct.
I understand that the reserves the right to decline an application without given the reason and all the
Informations will be kept private and confidential.
Signature Signature
( Name in Block Letter ) ( Name in Block Letter )
Designation Designation
Date Date
Company Seal
CREDIT APPROVED CREDIT DISAPPROVED
Credit Limit Local Currency
Credit Term Days Credit Limit U.S. Dollars
Signature Signature
( Block Letter ) ( Block Letter )
Designation Director of sales Designation Credit Manager/Chief Accountant
Date Date
Signature Signature
( Block Letter ) ( Block Letter )
Designation Financial Controller Designation General Manager/Hotel Manager
Date Date
HOTEL :
FOR HOTEL USE ONLY
Recommendations :
Sales Department
Corp. Accounting and Control
Credit Department
Financial Controller
G / M or H / M