Malaysia Debt Ventures Berhad

(Wholly owned by Minister of Finance Inc.) (578113-A)

Level 5, Menara Bank Pembangunan
1016, Jalan Sultan Ismail
50250 Kuala Lumpur
T: + 603 2617 8888
F: + 603 2697 8998
W: www.mdv.com.my

IMPORTANT NOTE: Applicants submitting applications for financing should not deal with nor pay any fee to any
third party or parties purporting to act on behalf or as an agent of MDV. MDV does not utilise agents,
intermediaries or other third parties as part of the application submission process. Only once a complete
application has been submitted to MDV, MDV will assign third party lawyers and due diligence consultants for
the purpose of preparing legal documents and conducting due diligence. MDV will communicate directly to
Applicants the assigned legal and consultancy firms. Applicants are cautioned against interacting with any legal
or consultancy firms not assigned by MDV but purporting to be acting for MDV.

APPLICATION CHECKLIST
PART 1

A. GENERAL REQUIREMENTS

Item Document/Information Checked by Checked by Remarks

Applicant MDV
1 Completed Application Form

2 Cross Cheque payable to “Malaysia Debt

Ventures Berhad” being earnest deposit
on the financing amount applied as
follows:
 Up to RM10 Million is RM10,000
 More than RM10 million is
RM20,000
3 Signed and attested statutory (as per format
attached) declaration on
 Bankruptcy, litigation and authenticity of
document
 Non-conflict of interest with MDV
 Non-payment of 3rd party intermediary
fees
 Copy of NRIC of Directors/MD/CEO/CFO
Note:
All the above declarations need to be
supported by Board Resolution ONLY IF one

Application Checklist 1 July 2012 1

 Malaysia Debt Ventures Berhad
(Wholly owned by Minister of Finance Inc.) (578113-A)
Level 5, Menara Bank Pembangunan
1016, Jalan Sultan Ismail
50250 Kuala Lumpur
T: + 603 2617 8888
F: + 603 2697 8998
W: www.mdv.com.my

(1) director signed on behalf of the board

Item Document/Information Checked by Checked by Remarks
Applicant MDV
4 Corporate/Management Information,
information should include the followings:-
 Corporate profile
 Detailed listing of shareholder and
percentage shareholding
 Organization chart / reporting structure
 Business plan (For open ended project)

5 Profile of KEY management team of the

company
(Profile to include working experience and
qualification)
6 Profile of KEY technical / project team of the
company
(Profile to include working experience and
qualification)
7 In table format - List of major past projects
(3-5 years) and present projects. Information
should include:-
 Description of project
 Awarder of the project
 Project start and end date
 Value of the project
8 Bank Negara Malaysia Credit Bureau Credit
Report for Applicant/ Company’s Proposed
Guarantors, Directors and Shareholders (for
non-public listed companies) as well as the
Applicant /Company and its subsidiary(ies)

Application Checklist 1 July 2012 2

 Malaysia Debt Ventures Berhad
(Wholly owned by Minister of Finance Inc.) (578113-A)
Level 5, Menara Bank Pembangunan
1016, Jalan Sultan Ismail
50250 Kuala Lumpur
T: + 603 2617 8888
F: + 603 2697 8998
W: www.mdv.com.my

B. STATUTORY DOCUMENTS

Item Document/Information Checked by Checked Remarks

Applicant by MDV
Certified True Copy of the following:-

1 Form 8/9

2 Form 13 (if there is a change of name after

incorporation)
3 Latest one year of Form 24

4 Latest Form 49

5 Latest Form of Annual Return

6 Latest Form 44

7 Latest one year of Form 32A

8 Memorandum and Articles of Association

Application Checklist 1 July 2012 3

 Malaysia Debt Ventures Berhad
(Wholly owned by Minister of Finance Inc.) (578113-A)
Level 5, Menara Bank Pembangunan
1016, Jalan Sultan Ismail
50250 Kuala Lumpur
T: + 603 2617 8888
F: + 603 2697 8998
W: www.mdv.com.my

C. PROJECT/CONTRACT INFORMATION

Item Document/Information Checked by Checked by Remarks

Applicant MDV
1 Certified True Copy
Main contract document(s) or Letter of
Award(s) for the project(s) in relation to the
financing application

2 Particular/details of the project which is

subject of the financing:-
 Technology application
 Scope of work
 Project timeline/gantt chart
 Project Team chart
 Project cashflow forecast and projection
including details basis and assumptions
(soft and hard copies)
 Company Cashflow (For Open- Ended
Project Only)

3 Certified True Copy

 Relevant sub-contracting/supplier
document(s)/agreement(s) (where sub-
contracting or third party(ies) are
involved)
 Other material contract between
applicant and other party(ies)

4 Certified True Copy

Operating licenses and permit (Where
relevant and applicable)

Application Checklist 1 July 2012 4

 Malaysia Debt Ventures Berhad
(Wholly owned by Minister of Finance Inc.) (578113-A)
Level 5, Menara Bank Pembangunan
1016, Jalan Sultan Ismail
50250 Kuala Lumpur
T: + 603 2617 8888
F: + 603 2697 8998
W: www.mdv.com.my

D. FINANCIAL INFORMATION

Item Document/Information Checked by Checked by Remarks

Applicant MDV

1  Certified true copy of latest past three (3)

years audited accounts of the applicant
 Latest management account of the
applicant
 Certified true copy of the latest audited
account of the Holding Company and
Corporate Guarantor
 Latest management account of the
Holding Company and Corporate
Guarantor
 Latest Debtor/Creditor Ageing
 6 months bank statement of operating
account

2 List of existing borrowing/ financing (in table

format) which include information such as:-
 Name of financial institution
 Type of facility offered
 Facility limit
 Interest/ profit rate
 Security/collateral imposed
 Latest outstanding balance

3 Certified True Copy

Letter of Offer from the existing financial
institution (if the applicant has existing
borrowing/ financing)

Application Checklist 1 July 2012 5

 Malaysia Debt Ventures Berhad
(Wholly owned by Minister of Finance Inc.) (578113-A)
Level 5, Menara Bank Pembangunan
1016, Jalan Sultan Ismail
50250 Kuala Lumpur
T: + 603 2617 8888
F: + 603 2697 8998
W: www.mdv.com.my

E. DECLARATIONS

Item Document/Information Checked by Checked by Remarks

Applicant MDV
1 Signed (as per format attached) declaration
on net personal worth of personal
guarantor(s) giving guarantee for the
financing

Application Checklist 1 July 2012 6