Mukundi Holdings | Credit Application

Apply for a Credit Facility

Please complete all applicable sections and upload the required supporting documents. Your application will be submitted to the Mukundi Holdings Credit Department for assessment.

Business Details

Registered Company Name *

Trading Name

Registration Number *

VAT Number

Income Tax Number

Nature of Business *

Years in Operation

Company Website

Physical Address *

Postal Address

Contact & Credit Request

Primary Contact Person *

Position *

Telephone Number *

Email Address *

Accounts Payable Contact

Accounts Payable Email

Credit Limit Requested (ZAR) *

Estimated Monthly Purchases (ZAR)

Purpose of Credit Facility

Directors / Members / Owners

Please provide the principal directors, members or owners. At least one entry is required.

Director / Owner 1

Full Name *

ID / Passport Number

Position

Ownership %

Banking & Trade References

Bank Name *

Account Holder *

Account Number *

Branch Code

Account Type

Trade References *

Reference 1

Company Name *

Contact Person

Telephone Number

Email Address

Reference 2

Company Name *

Contact Person

Telephone Number

Email Address

Reference 3

Company Name *

Contact Person

Telephone Number

Email Address

Financial Information & Supporting Documents

Accepted file types: PDF, DOC, DOCX, XLS, XLSX, JPG and PNG. Individual files should not exceed 20 MB.

Latest Three Years' Financial Statements *

Financial Statements 2025 *

Financial Statements 2024 *

Financial Statements 2023 *

Latest Six Months' Bank Statements *

Bank Statement Month 1

Bank Statement Month 2

Bank Statement Month 3

Bank Statement Month 4

Bank Statement Month 5

Bank Statement Month 6

OR upload one consolidated six-month bank statement PDF

Additional Required Documents

CIPC / Company Registration Documents *

VAT Registration Certificate

Proof of Banking Details *

Directors' / Members' IDs

Company Letterhead

Declaration & Submission

Mukundi Holdings may verify the information supplied, contact trade references and financial institutions, perform credit and financial assessments, and request further supporting information.

I confirm that the information provided is true, complete and correct. I confirm that I am authorised to submit this credit application on behalf of the applicant and authorise Mukundi Holdings (Pty) Ltd to assess and verify the information provided. *

Authorised Representative Full Name *

Position *

Date *

Electronic Signature (type full name) *