KERKESE APLIKIMI PER KREDI

Data e kerkeses .........- .......______________ .... Kerkese No. ... _____________

Marre ne dorezim nga: .::::::.______________ .....Klienti No. ..... _____________

Sipas informacionit te paraqitur, i derjtohem Institutit tuaj me kerkesen qe te vleresoje aktivitetin tim, per te me mundesuar dhenien e kredise.

( Per t’u plotesuar nga kredikerkuesi )

Te dhena per kredine

Shuma e kerkuar.................... ________ ..Monedha ( 00)

Qellimi..................................._________________

Afati ...................................._________________

Aftesia mujore per tu paguar.... _________________

Te dhena personale

Emri, Atesia, Mbiemri................_________________

Datelindja.............................._________________

Adresa e banimit....................._____________________________________________

Shtetesia..............................._________________

Nr. I pasaportes ....................1_________________

Nr. Tel.Fax,e-mail...................._____________________________________________

Kualifikimi personal arsimor........._____________________________________________

Njohje ligjore e klientit

Emertimi................................._________________

Data, ne.rregj. ne Gjykate.........._________________

Nr. I rregj. ne organet tatimore..._________________

NIPT......................................_________________

Te dhena per biznesin

Pershkrim i shkurter i aktivitetit...____________________________________________ _______________________________________________________________________

Adresa e biznesit...................____________________________________________

........................................... Viti 3 .......... Viti 2 ............. Viti 1

Aktive fikse.............................______..........______...........______

Aktive qarkulluese....................______..........______...........______

Detyrime afatshkurtra...............______..........______...........______

Short Liabilities........................______..........______...........______

Xhiro vjetore...........................______..........______...........______

Fitimi.....................................______..........______...........______

Kolateral (pershkrimi, vlera) ....._______________________________________________

Garanci (dorezanes, peng ) ......_______________________________________________