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TELL US ABOUT YOUR PROJECT
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TELL US ABOUT YOUR PROJECT
TELL US ABOUT YOUR PROJECT
Surname
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Last Name
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Your Company Name:
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Your Complete Full Address:
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City:
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State
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Zip Code:
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Country:
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Phone Number
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Email
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What Do You Want Us To Do For You?
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(State clearly)
If you desire a Loan, state the purpose of the Loan
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How Much Loan Are You Requesting for?
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(Loan Amount): N/$
Loan Amount in Words:
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Breakdown of the use of the Loan proceeds (in details):
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Do you have any outstanding Loans?
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If yes, state the Amount outstanding: N/$
Yes
No
If yes, state the Amount outstanding:
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Are you current in the repayment of this loan?
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YES
NO
Is yours an existing Business?
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YES
NO
If yes, for how long have you been in THIS business?
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Does your Business have Up-to-date Audited Accounts?
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YES
NO
Brief Background on the Principals, describing your experience:
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Additional Comments, if any:
Verification
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Example: 12
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