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www.chadwayinvestment.

com
corporate@chadwayinvestment.com

8 Lakme Street Opera Estate 456905 Singapore.

DUE DILIGENCE REQUEST FORM


THIS QUESTIONAIRE FORM HIGHLIGHTS THE KEY ELEMENTS OF YOUR FINANCING PROPOSAL. THE
INFORMATION YOU PROVIDE WILL BE USED TO EVALUATE YOUR COMPANY / BUSINESS VENTURE AS A
POTENTIAL FUNDING CANDIDATE. PLEASE TRY NOT TO LEAVE ANY SPACE BLANK AND RETURN WITHIN 24-48
HOURS.

 INTRODUCTION

(1). Company Name

(2). Type of Business (Registration Number & Date of Registration)

(3). Company Address

(4). Project/ Venture Location

(5). Telephone Number


SCOPE OF PROJECT

(6). Number Of years in Business

(7). Number of Employees

(8). Do you have a legal representative or broker for this loan/Equity acquisition?

 FUNDING PROCESS

Please indicate the amount of funding you are requesting. If known, please provide abreak-
down within the following categories:

(9). Amount of Funds required for this Project:

(10). If applicable, please specify equity percentages:

(11). Which Companies or Investors have you contacted in the past?


(12). What is the net worth of company and value of the total assets? (If any please specify):

(13). Does your company own other properties outside this project venture?

 LICENSES AND PERMITS

(14). Have you acquired all the licenses and permits from the government (Is the project shovel)

 FEASIBILITY STUDY

(15). Is there feasibility study of the project already completed and executive summary:

Type I/we agree:

* (required)

Signature Applicant:

* (required)

Name in Capitals:

* (required)

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