Online Business Credit Application

Applicant's Personal Information

*First Name

*Last Name

Middle Name

*SIN

*Full Address

*City

*Do you own the house or rent? *Do you own the house or rent? Own Rent

*Province

*How long have you been living at above address?

*Postal Code

*Date of Birth (mm/dd/yyyy)

Home Phone No.

*Cell No.

*Email Address

*Any prior repossession *Any prior repossession Yes No

*Any previous dealing with Punjab Sindh Finance *Any previous dealing with Punjab Sindh Finance Yes No

*Any legal suits *Any legal suits Yes No

*Have you ever declared bankruptcy? *Have you ever declared bankruptcy? Yes No

Co-Applicant's Personal Information

First Name

Last Name

Middle Name

Full Address

SIN

Postal Code

How long you living at above address?

City

Province

Do you own the house or rent? Do you own the house or rent? Own Rent

Date of Birth (mm/dd/yyyy)

Home Phone No.

Cell No.

Email Address

Any previous dealing with Punjab Sindh Finance Any previous dealing with Punjab Sindh Finance Yes No

Any prior repossession Any prior repossession Yes No

Any legal suits Any legal suits Yes No

Have you ever declared bankruptcy? Have you ever declared bankruptcy? Yes No

General Corporation Information

Full Legal Business Name (including "Operating as")

Corporate Address

City

Province

Postal Code

Phone

Website

Years in Business

No. of Employees

Financial Year End

Company Hauling for

Years Driving

Shareholder Contact Name, Position, Ownership (%)

Shareholder Contact Name, Position, Ownership (%)

Shareholder Contact Name, Position, Ownership (%)

Shareholder Contact Name, Position, Ownership (%)

Personal Networth

Residence Value

Mortgage liability

Total Cash

Loan(s)

Personal Vehicles Value

No. of credit cards

Investment/RRSP Value

Other Liabilities

Other Assets

"The personal information may be gathered and used by Punjab Sindh Finance and its assignees and potential assignees, to provide products and to perform services as may be requested by you. We may also disclose your personal information to third parties such as the manufacturer of your vehicle, credit reporting agencies, financial institutions of financing companies, your insurance agent or company and/or companies which provide or insure warranties relating to your vehicle. You are entitled to access this personal information that you provide and you may ask that it be updated and rectified. I acknowledge that the information, including personal information, may be processed and stored outside of Canada. We may also disclose your personal information where we are permitted by law to do so. By signing this document below, you have consented to these uses and disclosures." "The personal information may be gathered and used by Punjab Sindh Finance and its assignees and potential assignees, to provide products and to perform services as may be requested by you. We may also disclose your personal information to third parties such as the manufacturer of your vehicle, credit reporting agencies, financial institutions of financing companies, your insurance agent or company and/or companies which provide or insure warranties relating to your vehicle. You are entitled to access this personal information that you provide and you may ask that it be updated and rectified. I acknowledge that the information, including personal information, may be processed and stored outside of Canada. We may also disclose your personal information where we are permitted by law to do so. By signing this document below, you have consented to these uses and disclosures." I have read & accepted the above agreement