The APPLICATION must be filled in all mandatory fields marked with a red asterisk.

The system automatically rejects incomplete requests, spam and blocks hacking attempts.

By sending this message I confirm and certify that the information provided below is complete and correct and I authorize its use for the purposes indicated.

ELECTRONIC APPLICATION
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!!! DO NOT MODIFY !!!

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PROYTEC PANAMA CORP - PROYTEC GROUP




WRITE EVERYTHING WHIT CAPS LOK

TAB TO MOVE TO THE NEXT FIELD


THE FIELDS WITH A RED ASTERISK ARE MANDATORY

1. NAME and SURNAME
ENTER THE NAME AND SURNAME PRESENT IN THE CIS/KIC

ENTER THE BUSINESS NAME PRESENT IN THE CIS/KIC




ENTER THE CODE PRESENT IN THE CIS/KIC.

IF YOU DO NOT REMEMBER YOUR CIS/KYC CODE, LEAVE IT BLANK


BUSINESS DATA

24. Collegiate Administrative Body

!!! IMPORTANT !!!

If YES send the Personal Documents of all Administrators in JPG or PNG graphic format, not PDF to E-mail:

proytecbox@gmail.com

The SUBJECT of the email must be:

[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME]
(indicated in point 2.) - ADMINISTRATORS' DOCUMENTS


FINANCIAL SERVICE

75. Type of financial service requested


77. Reason for financing/investment (multiple options are also possible)



80. I undertake to send a descriptive REPORT as indicated in the INDEX to be followed for the drafting of the Report accompanying the Financial Plan, and to also send the FINANCIAL PLAN.

The index to follow for drafting the descriptive REPORT can be downloaded here : BUSINESS PLAN


The REPORT must be sent to : proytecbox@gmail.com
The SUBJECT of the email must be:
[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 2.) - REPORT


The FINANCIAL PLAN must be sent to : proytecbox@gmail.com
The SUBJECT of the email must be:
[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 2.) - FINANCIAL PLAN


If the descriptive REPORT is integrated into a single Document with the FINANCIAL PLAN, constituting the BUSINESS PLAN
the SUBJECT of the email must be :
"[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 2.) - BUSINESS PLAN

REQUEST




APPLICANT'S FINANCIAL DATA

If there are no exposures write "0"

Indicate the sum of Leasing, other Financing or Loans, etc.
If there are no exposures write
"0"

Indicate the sum of Mortgages, Guarantees or Pledges
If there are no exposures write
"0"


95. I undertake to send the FINANCIAL STATEMENTS for the last 3 years and the BANKING MOVEMENT EXTRACT for the last 24 months (Not applicable to Start Up Business)

The FINANCIAL STATEMENTS must be sent to :
proytecbox@gmail.com
The SUBJECT of the email must be:
[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 2.) - FINANCIAL STATEMENTS


The BANKING MOVEMENT EXTRACT must be sent to :
proytecbox@gmail.com
The SUBJECT of the email must be:
[NAME and SURNAME] (indicated in point 1.) - [BUSINESS NAME] (indicated in point 2.) - BANKING MOVEMENT EXTRACT




STATEMENTS

99. I, under penalty of perjury, with full corporate and individual responsibility, hereby irrevocably, confirms neither I, nor anyone else associated with my organization, company or individual investor works for any agency of any government.
100. I, under penalty of perjury, with full corporate and individual responsibility, also declare that it is not involved in any government entrapment operation.
101. I, under penalty of perjury, with full corporate and individual responsibility, hereby irrevocably, confirm that neither I, nor anyone else associated with my organization or company has been convicted of a crime, in any country in the World.
102. I, under penalty of perjury, with full corporate and individual responsibility, also declare that, as nor my team within my organization or company are considered terrorists or on a checklist of the Department of Security of any State in the World.
103. I, under penalty of perjury, with full corporate and individual responsibility, declare that:
104. I, under penalty of perjury, with full corporate and individual responsibility, declare that:


AUTHORISATIONS

105. I authorize the collection, use and disclosure by PROYTEC GROUP and PROYTEC PANAMA CORP of the data and information provided with this APPLICATION to its affiliates, Credit Agencies, Reporting Agencies, Banking and Financial Institutions and associated Companies.
106. I also authorize the disclosure by these parties of credit and financial information obtained from the above sources for the purpose of obtaining and using a credit information report and verifying current and ongoing creditworthiness.
107. I understand and accept that PROYTEC GROUP and PROYTEC PANAMA CORP may disclose personal, business, financial and credit information submitted with this APPLICATION and in the Documents sent to future creditors and banking and financial institutions requesting credit references..
108. I authorize the collection, use and disclosure of personal information by PROYTEC GROUP and PROYTEC PANAMA CORP and of the persons (natural and legal) referred to in this APPLICATION and in the Documents sent..


RESPONSIBILITIES

109. I swear under penalty of perjury, with total personal responsibility, that the information provided in this document is accurate and truthful and I irrevocably confirm that I am legally authorized to sign this APPLICATION also by committing the Company.


110. COMPILING AND SENDING THE QUESTIONNAIRE

111. SEND THE APPLICATION

112. SIGNATURE


REFERENCE REGULATIONS

113. EDT (ELECTRONIC DOCUMENT TRANSMISSIONS)

114. ELECTRONIC SIGNATURE

115. ELECTRONIC DOCUMENTS

116. DATA PROTECTION

117. ORIGINAL COPY OF DOCUMENTS

ELECTRONIC SIGNATURE (Name and Surname)


!!! DO NOT MODIFY !!!


IF "Contact via" IS "Website" WRITE "-"


It is advisable to be accompanied, advised and supported by a Director, a Manager or an Agent of PROYTEC PANAMA Corp.


Requests from the PROYTEC PANAMA Corp. network take precedence, even if all requests are parsed successfully.