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tlepaitment of Trade and,l us try-Re g i o n : Offi c.e V Em pf o,ye es,f s sopi at i,o n
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Beil Crec{itCafd Catr,*a,q, [C

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toAN APPI_:ICATION
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NAIUE OF BORROW
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AMOUNl"APPI-IED _'00.': T taol I

For and iri consi er of tl-ie aPorle.amount applied fori bind rnyself tg all the
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terms and.conditions of

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na rrbwer
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;oinil,y*j"rr to
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lure ito payall'irti loan
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S .ovqr,p'riir of Co-iMaker
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LoRu ACTTON SHEETi' I

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TOTA|,'C APITAL
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TOTAL LOANS
PAYMENTS I

,BAI]ANCE ! i

% OF CAYM i
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NET T,TK'I".[IOV|E P,

EVAL.TJATED BY: .
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Receivpd By: I

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AUTI.I oBl ZATION

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This to is the lnc,., Ciedit C.ommittee,,to dedu

salary llicwa.nctis/bonu the ft]Y ,
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: starting

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Principal ;

InteresI.. I

Total I

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