Alpha Bank Romania SA

ANEXA LA CEREREA DE CREDIT/ APPENDIX TO THE CREDIT REQUEST

(Se compleaza de catre fiecare asociat si cadru de conducere/ To be completed by all owners/ managers of the company)

Nume/Name ______________________
Nume Societate/ Company name __________________
Functia/ Position ________________
Varsta _____ Vechime in firma _________ Procent din capitalul social __________

Studii/ Education
Studii de cel mai inalt nivel (institutia, profilul, anii)/ Higher level of education (institution, specialization,years)
_____scoala profesionala ___________________________________________________________
_____________________________________________________________________________________________

Diploma obtinuta/ Degree ___________________________________

Experienta profesionala (lista în ordine cronologica, începând cu momentul prezent)

Working experience (please list in chronological order starting with present moment)

Numele societatii si orasul/Company name and

location
De la/From_______Pâna la/To Functia/Position
Responsabilitati/Responsibilities

Numele societatii si orasul/Company name and

location
De la/From_______ Pâna la/To Functia/Position
Responsabilitati/Responsibilities

DECLARATII SI ACORDURI / STATEMENTS AND CONSENTS

 Sunt/ nu sunt garant al urmatorului tip de datorie:

I am/ I am not engaged as guarantor in the following type of debts: ____

 Nu am fost/ nu sunt implicat in nici un proces penal si/sau civil aflat pe rolul vreunei Instante Judecatoresti/
I was not/ I am not involved in any penal and/or civil law suit in any Legal Court;
In caz contrar, oferiti detalii/ If yes, elaborate the issue:________

 Am/ nu am cazier/ I have/ I do not have criminal record _________

(Daca da, oferiti detalii/If yes, elaborate the issue)

 Prin prezenta îl autorizez pe Imprumutator pentru a opera orice fel de investigatie asupra creditului, referitor la
aceasta solicitare de credit./ Through this current document I empower the Lender to operate any kind of
investigation on the this loan application

_______________________________ ________________
Semnatura/ Signature Data/ Date