Nippon - RFC INV'T Capital III NV
Korte Voorhout 16a
Postbus 20201
2500 EE Den Haag
Ede GLD, GELDERLAND
NETHERLANDS
TEL: +31 (0) 20 558-4466
Fax: +31 (0) 318602120.
60485 Frankfurt Mergenthaleralle 67
65760 Eschborn, Germany
Tel: + 49- (0) 69-2 11-021/ + 49- (0) 69-2 13-1 20 15.
E-mail:
info-funds@nipponrfcinvcoapital.comAPPLICATION FOR FUNDING
GENERAL INFORMATION
1. Name of Applicant:
2. Address
Street: City:
State/Provance: Country:
Tel: Fax:
E-mail: Website:
3. Name of Principals (Shareholders and % of Common Stock held in the Company):
SHAREHOLDER’S NAME SHARES (%)
4. How long has the Applicant been in Business? (Date and Place of Incorporation)
5. Brief description of Applicant’s Business (current):
6. Principals’ place of residence of the Shareholders (Provide full Personal Contact details including personal
e-mail address and cell phone Number):
7. If the Principals are Corporate, please indicate the name of the Holding Corporation and its complete contact
details and Shareholders together with Web Site Address:
8. Description of the project:
9. Total cost of project (USD/EUR):
10. “Cash” (USD/EUR) Investment made “To This Date” by the Principals/Shareholders into the Project (Not money
the Principals / Shareholders may have borrowed but their “Own Money”):
11. Amount of additional Future “Cash” (USD/EUR) to be eventually invested by the Principals / Shareholders into
the Project (Again coming from the Principals / Shareholders’ own money):
12. When will that additional money expected to be invested?
13. What is the “Actual” Commercial Value of your Project (As Is Where is, before the Funding required being
granted and, If the Project was to be sold as is where is tomorrow and “NOT” the value reported in a recent
Evaluation Report)
13. A. What will be the Economic Value of your project once completed (within the year following its completion)
CONCERNING THE FUNDING REQUIRED
14. Total Amount of Funding required (USD/EUR):
15. Please provide us with a detailed use for the Funding required:
USE OF FUNDS AMOUNT (USD/EUR)
TOTAL
16. What percentage (%) or what amount of the Funding required in #15 here-above would you like to be in Equity
Funding?
17. What percentage (%) or what amount of the Funding required in #15 here-above would you like to be in
Conventional Debt Financing?
18. Please, tell us more about any “Specific” request you may have for the Funding required in #15 here-above: Any
Special Terms, Conditions (interest rate, grace period, term), % of participation offered to Nippon - RFC INV'T
Capital III NV for Equity Funding etc.
19. Please, elaborate on the “Exit Strategy” you envision for the funder concerning the funding required in #15
here-above.
20. What is your “Time Frame” to obtain the funding required (drawdown schedule)?
21. What documents are available to be sent to Nippon - RFC INV'T Capital III NV for review?
22. What is the greatest weakness of the project described herein?
23. What is the greatest strength of the Project described herein?
24. Is the Applicant currently in talks with other Groups than Nippon - RFC INV'T Capital III NV in order to obtain the
funding referred to herein?
If so? With whom?
25. IMPORTANT NOTE
A. In signing this Application, the Applicant confirms that he understands that in order to obtain the Funding
required herein, money may have to be spent with third parties for 1) Due Diligence Fees 2) Appraisal Report 3)
Viability Report, and that money may need to be spent “Before” any Funding is granted! Important Note: Those
Third Parties are NOT linked in any way to Nippon - RFC INV'T Capital III NV but rather are people like
International Accounting Firms, Evaluation Firms, Specialized Consultants, Legal Firms
B. In signing this Application for Funding, the Applicant authorizes Nippon - RFC INV'T Capital III NV to engage in a
Pre Due Diligence (No Fees to the Applicant) concerning the Project described herein and the funding it requires
and obtain (from whatever source and regardless of any Non-Disclosure Agreement that may have been signed
between Nippon - RFC INV'T Capital III NV, the Applicant or its Representatives) any and all information or
documents deemed necessary by Nippon - RFC INV'T Capital III NV in it absolute discretion, in order for Nippon
- RFC INV'T Capital III NV to complete its Pre Due Diligence
C. Should the conclusions of the Pre Due Diligence be negative, then Nippon - RFC INV'T Capital III NV reserves
the right to immediately decline the Project described herein, without any obligations to disclose to the Applicant
the reasons to withdraw from its dealings with the Applicant or its Representatives at any time and at its own
discretion, without any responsibilities towards the Applicant or its Representatives for such withdrawal and
resulting inconvenience, if any, suffered by the Applicant or its Representatives as a consequence of such
withdrawal.
D. Nippon - RFC INV'T Capital III NV, will communicate with the Applicant or its Representatives by electronic mail
or otherwise transmit documents in electronic form during the course of its dealings with the Applicant and in
signing this Application for Funding the Applicant accepts the inherent risks of these forms of communication,
including the security risks of interception of, or, unauthorized access to such communications, the risks of
corruption of such communications and the risks of viruses or other harmful devices.
E. Any dispute or claims, arising out of, or relating to this Application for Funding between the parties, or any other
claims by either party during their dealings together shall be resolve in accordance with the Laws of the
Netherlands.
FIRSTLY:
This Application for Funding must be signed by one of the Principals or Shareholders whose name appears in # 3 of
this document.
SECONDLY:
In signing this Application for Funding, the client authorizes Nippon - RFC INV'T Capital III NV to obtain any and all
information deemed necessary by Nippon - RFC INV'T Capital III NV, from third parties in order for Nippon - RFC
INV'T Capital III NV to complete the review and the analysis of the Project described herein, and the funding it
requires to be developed and put in place.
THIRDLY:
The person that has completed and signed this Application to Nippon - RFC INV'T Capital III NV in the name of the
Applicant hereby confirms that any and all the information contained herein, and as well any and all other documents
submitted to Nippon - RFC INV'T Capital III NV such as Business Plans, or Executive Summary are true and correct.
Furthermore, the person that has completed and presented this Application hereby confirms that the Actual Financial
Situation of the Applicant and/or the Principals of the Project are very good.
APPLICANT
UNDERSIGNER
TITLE
DATE
by Wayne » Mon Sep 23, 2019 2:14 pm 
