Your Business Name

Aims and Objective of your business

Number of employees present

Number of employees planning to recruit

Cost of production and unit selling price

Company Address

Have you applied for loan with us before?

Yes No

If yes, how many times have you been given loan?

Loan amount requested (NGN | USD | EUR)

Loan purpose

Loan class

Short Term Medium Term Long Term

Loan type

Term Loan Working Capital On Lending

Repayment Plan

Monthly Quarterly Semi-annual Annual

Disbursement Type

Single Multiple

Assets to be financed

Please attach invoices

Installation Cost (If not in invoice) NGN

Total cost: NGN | USD | EUR

Installation Plan

Attach CAC document

Upload means of ID of the Business Owner

Upload letterhead

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