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New contract
Contract extension
GET TRADE CREDIT INSURANCE OFFER
This application does not obligate you to conclude a trade insurance contract with the insurer.
1
About
company
2
Company's
turnover
3
Current outstandings
4
Insurable
turnover
5
Additional information
6
Contract approval
1
About
company
2
Company's
turnover
3
Insurable
turnover
4
Additional information
5
Contract approval
* Compulsory fields
Company name
*
Head office address
*
Registration address
*
Company code
*
VAT payer's code
Number/date of issue of the company's registration certificate
Description of activities
*
Sectors of buyers' activities
Associated companies
Company's payment account
*
Bank
Person responsible for credit management (contact person)
*
Position
*
Telephone
*
Mobile telephone
Fax
Email
*
Information about company's owners
Name, surname / Company name
Portion of shares (%)
Add a company owner
Next
Table of company's revenues
Sales analysis
2018
2019
2020
%
Domestic market turnover
*
100.00%
Export turnover
*
100.00%
Turnover with associated companies, state and municipal companies, public institutions etc.
100.00%
Next
Table of buyer outstandings' analysis
Analysis of the buyers' outstandings (as of the end of the last reporting period)
AMOUNT
%
Current outstandings (until the expiry of the credit period)
*
100.00%
Outstandings overdue by 1-90 days (after the expiry of the credit period)
*
100.00%
Outstandings overdue by more than 90 days (after the expiry of the credit period)
*
100.00%
Distribution of buyers' outstandings (as of the end of the last reporting period)
Outstandings on the buyer
AMOUNT
%
NUMBER OF BUYERS
%
up to 1,000
*
100.00%
100.00%
from 1,001 to 5,000
*
100.00%
100.00%
from 5,001 to 10,000
*
100.00%
100.00%
from 10,001 to 15,000
*
100.00%
100.00%
from 15,001 to 20,000
*
100.00%
100.00%
More than 20,000
*
100.00%
100.00%
Analysis of bad debts
Bad debts
The largest bad debt
QUANTITY
*
AMOUNT
*
Name of the buyer
*
Country of the buyer
*
Amount of bad debt
*
Year
2018
Bad debt – value of invoices issued in the given year and overdue by more than 180 days. Bad debt is to be indicated in the year it appeared (not to be repeated in subsequent periods).
2019
Bad debt – value of invoices issued in the given year and overdue by more than 180 days. Bad debt is to be indicated in the year it appeared (not to be repeated in subsequent periods).
2020
Bad debt – value of invoices issued in the given year and overdue by more than 180 days. Bad debt is to be indicated in the year it appeared (not to be repeated in subsequent periods).
2021
2017 - Bad debts as of the application completion date
Add document/s
Next
Table of insurable turnover
Insurable 12-month turnover in domestic market
*
100.00%
Insurable 12-month export turnover
*
100.00%
Distribution of sales by countries
CP (in days)
**
CP (in days) - Credit period in days
Buyer's country
Insurable turnover over 12 months
*
% share
Number of buyers
Maximum
Medium
Excluding the turnover with associated companies, state and municipal companies, public institutions etc.
-
Add a country
10 biggest buyers
5 largest buyers
Buyer's name
Buyer's address
Buyer's country
Buyer's code
Credit limit
*
Max CP (d.)
**
Credit limit - maximum possible outstandings on the buyer during the credit period
Max CP (d.) - maximum credit period in days
Assessments of the buyers above will be invoiced at the inception of the Contract under the terms of the Contract.
Add buyer
Next
Do you presently insure trade credits?
Yes
No
Name of insurance company
Insurance contract (policy) validity date (from)
Insurance contract (policy) validity date (to)
Beneficiary (if any)
Optional information
Do you sell dual-use products or services?
*
Yes
No
Dual-use products or services mean objects or technologies, which are generally used for civil purposes, however they could also be adapted for military industry. Export of dual-use products or services is generally subject to special requirements (permits).
Have you obtained the necessary permits, required for the sales of dual-use products or services?*
*
Yes
No
Are you going to use the services of an insurance broker?
*
Yes
No
If yes, please specify the name of the insurance broker
Next
I DO HEREBY CONFIRM THAT ALL INFORMATION CONTAINED IN THE APPLICATION IS TRUE.
*
Send the application