Please fill out your information below and one of our representatives will contact you soon.
Primary Contact First Name:
Primary Contact Last Name:
LP_Country:
Email Address:
Contact Number:
Customer Type:
Business Name:
Type of Business:
List Shareholder Names:
BIR Number (if applicable):
VAT Number (if applicable):
Annual Revenue:
Loan Amount:
Your Branch:
Best time to call:
I declare, I am the registered owner of the business and in possession of:
- Annual Gross Revenues between TT$0.5 million to TT$25 million
- BIR tax registration or can provide a letter signed by the BIR indicating it is in the process of being duly registered
- Borrower undertakes to settle all outstanding statutory obligations within one year of the disbursement of the facility or make appropriate arrangements with the BIR and other Statutory Authorities to settle the obligations failing which the loan must be repaid in full within two (2) years
- Up-to-date taxes, VAT and NIB contributions for employees up to December 2018
I understand that ineligible submissions based on these mandatory requirements will not be considered, nor will they be contacted.
I/We authorise you to disclose any information in relation to this Facility to the Government of Trinidad and Tobago and its agents, the Ministry of Finance, BIR and NIB solely for the purpose of Audit, Compliance and Evaluation of the operation of this special Loan Facility.
I confirm that I have neither applied for nor was granted any loan under Phase II of the SME Stimulus Loan Facility.
By submitting my information, I agree to receive future communication from Republic Bank.
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