Loan Application

LOAN APPLICATION FORM

First name*

Last name*

Address*

Phone Number:*

Email*

Is your business registered by CAC? YesNo

If "yes", state the type of entity registered: EnterpriseCooperativeLimited Liability

Amount of investment sought. ₦

Describe the product(s) / service(s) provided by the business:

Do you have a business plan? YesNo

Does your business have the requisite regulatory certification(s)/license(s) for the product(s)/service(s) (If applicable)? YesNo

Please indicate your area of deployment of the anticipated capital injection:
Plant & MachineryUtilities (Generator, Transformer, etc.)Working Capital (Raw Materials/ Consumables)Defray/Off-Setting Existing LoansOthers

If others please specify

Do you have collateral for the expected capital injection? YesNo

All submitted information and documentation will be subject to plagiarism & verification checks

Δ