ASSET ACQUISITION APPLICATION FORM – SOUTH WALK CAPITAL

GETTING STARTED

Proposed Amount:^*

Personal Details

First Name^*

Last Name^*

Mobile Number

Gender

Male

Female

Others

Date of Birth

Address

Email^*

Passport Photograph^*

Size Restrictions: Please make sure the image size is equal to or larger than 150 by 150 pixels.

Business Details

BUSINESS NAME

TOTAL NUMBER OF WORKERS

BUSINESS LOCATIONS/ADDRESS(ES)

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