Customer Credit Application Form

1. What this document is

A customer credit application form used by Kenyan suppliers and service providers to assess whether a business customer may receive goods or services on credit.

2. Purpose

It records the applicant’s business, ownership, banking and trade-reference information, sets the proposed credit terms, and obtains consent for reasonable credit assessment and debt recovery steps.

3. Key components

1. Applicant and supplier details identifying the parties and application date
2. Credit request and account details stating the requested limit, payment period and intended purchases
3. Business registration and contact information for assessing the applicant entity
4. Ownership and authorised representative details confirming who may bind the applicant
5. Banking and trade references used to support the credit assessment
6. Financial and payment information relevant to the requested credit facility
7. Customer declarations confirming accuracy and authority to submit the application
8. Credit terms covering approval, payment, interest, suspension and collection costs
9. Data handling consent for credit assessment and account administration
10. Governing law, notices and acceptance signatures