自然人-财团法人国际合作发展基金会.doc

授信保證申請書-自然人 APPLICATION FOR CREDIT GUARANTY – I NDIVIDUAL 　　申請人為創設事業，茲申請 貴基金給予信用保證，並經________________________ 銀行給予貸款，申請人同意　貴基金得對申請人進行徵信查詢並得蒐集、保存、利用申請人之個人資料。 The applicant, for the purpose of establishing a business, hereby applies to the Fund for credit guaranty, and through a bank. ____________________________, to grant the loan. The applicant agrees that the Fund may for the purpose of conducting a credit investigation to determine the applicant’s eligibility to receive credit guaranty collect, store and use the applicant’s personal information. A、申Application Information： ________________ 中文(In Chinese) _____________________________ 英文(In English) 2、_________________________________ I.D.No. _____________________________________________ 3、申請人住址： 電話： Address of applicant ____________________________________ Tel No._______________________________ 4、申請保證之融資金額： Financing amount under the credit guaranty_______________________________________________________ 5、貸款期間： Maturity period of loan ____________ 年(years)_____________月(months) 6、貸款用途： 7、還款來源： Purpose of loan Source of repayment_________________________ 8、還款方式： Repayment method □到期一次清償。 Repayment upon maturity □貸款後_____個月起每_____個月一期，平均攤還。 Starting from the month after drawdown of the loan, repayment will be amortized evenly every _____ month(s) period. 其他。__________________________________________________________________ 9、申請人出生日期： 9、Birth date of applicant____月Month____日Date____年Year Nationality ________________________ B、 Documents to be submitted to TaiwanICDF 附件名稱Documents 檢附submitted 有Yes 無NO 個人及其配偶之個人資料表Statement of Individual Information for principal and his/her spouse. (應用表格 Form 6) 身份證明文件Photocopy of I. D. Certificate. 最近一年納稅資料影本。Photocopy of latest-year tax return. 投資事業計劃書Investment proposal(應用表格 Form 4)