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APPLICATION TO INCREASE CREDIT LIMIT
 

Please print this form, fill in Part A or B in form and fax to inqaba biotec @ 012 343 02 87 
 

Credit limit applied for: _______________________________________________ 
 

Account holders details: 
 

A) Institutions:
 

Full Name:

 _____________________________________

Department:

 _____________________________________

Phone number of Accounting Department:

 _____________________________________
B) Companies:

Full Name:

 _____________________________________

Department:

 _____________________________________

Position:

 _____________________________________

Company Reg. No.:

 _____________________________________

Trade reference:

 _____________________________________

Phone number of Accounting Department:

 _____________________________________
Directors/Members/Partners:

 _____________________________________

_____________________________________

_____________________________________

_____________________________________
Auditor:______________________ _____________________________________
Date: _____________________ Place: __________________________________
Signature: _________________________________________________________

Inqaba Biotechnical Industries (Pty) Ltd

P.O. Box 14356, Hatfield 0028
Co. Reg. No. 2001/011245/07
Directors: Mr JJ de Gama, Dr O Preisig (Swiss) and Mr BA Mboniswa (non executive)