CAPIMEXI Financing Application Initial Financing Application for Businesses and Qualifying Applicants Seeking Financial Solutions from CAPIMEXI. Step 1 of 4 - Applicant & Company 25% PhoneThis field is for validation purposes and should be left unchanged.Applicant & Company InformationTell us who you are and provide your basic business details.Applicant Type(Required) Individual Company Partnership Corporation Full Name / Authorized Representative(Required)Company / Business Name(Required)Company / Business Name(Required)Company / Business Name(Required)Country(Required)CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCity / StateBusiness Registration Number(Required)Email(Required) Business Email(Required) Business Email(Required) Business Email(Required) Phone Number(Required)Company Website Financing RequirementsTell us how much financing you need and what the funds will be used for.Type of Financing Required(Required) Business Financing Working Capital Project Financing Asset / Equipment Financing Real Estate Financing Trade / Commercial Financing Other Amount Required(Required)Currency(Required)CurrencyUSDMXNEURGBPCADOtherPurpose of Financing(Required)Briefly explain how the funds will be used and the business objective they are intended to support.Preferred Financing TermPreferred Financing TermLess than 1 year1–3 years3–5 years5–10 yearsTo be discussedExpected Repayment Frequency Monthly Quarterly Annually To be discussed Business & Financial ProfileThis information helps us understand the business behind your financing request.Industry / Sector(Required)Industry / SectorAgricultureConstructionManufacturingMiningEnergyReal EstateTransportation & LogisticsTechnologyTrading / Import & ExportHealthcareHospitalityRetailOtherYear Business EstablishedPlease enter a number from 1800 to 2100.Number of EmployeesPlease enter a number greater than or equal to 0.Annual Business Revenue(Required)Annual Business RevenueBelow USD 100,000USD 100,000 – 500,000USD 500,000 – 1 MillionUSD 1 – 5 MillionUSD 5 – 10 MillionAbove USD 10 MillionDo you currently have outstanding loans or financing?(Required) Yes No Outstanding Financing AmountCurrent Lender / Financial InstitutionApproximate Monthly RepaymentBrief Business Description(Required) Security, Documents & DeclarationProvide available security information and supporting documents.Is collateral available?(Required) Yes No To be discussed Type of Collateral Land Property Equipment / Machinery Vehicles Inventory Other Estimated Collateral ValueSupporting Documents: Your National ID or Passport is needed(Required) Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, doc, docx, xls, xlsx, Max. file size: 512 MB, Max. files: 10. Upload relevant company registration, financial statements, bank statements, business plans, collateral documents or other supporting files.Additional Comments / InformationDate(Required) Full Name / Electronic Signature(Required)Consent(Required) I agree to the Terms and Conditions of CapiMexi.(Required)CAPTCHA
