APPLICANT DETAILS:

DETAILS OF BUSINESS FIRMS:

MANAGEMENT PROFILE:

Proprietor/Partners/Directors details (For Partnerships/Private Ltd./Public Ltd. Co Only

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FIRMS BUSINESS INFORMATION:

Type of Business:

Business performance per annum :

Or

BANK DETAILS:

CREDIT HISTORY:

s/n	Lending Bank/Institution	Date loan granted	Amount granted	Repayment Period	Monthly Repayments	Outstanding A mount	Upload Document Evidence
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LOAN REQUEST:

COLLATERAL SECURITIES (attach):

GUARANTOR/ REFERENCE:

Guarantor 1

Guarantor 2

DECLARATION

I/We, the undersigned hereby declare that: a) We are the Directors/ Proprietor of b) I/We certify this information is true and correct and authorize the Mbegu Fund Board to: i. Contact any source for confirmation. ii. Share information of our credit history with Credit Reference Bureaus iii. Confirm bank details with our bankers as and when necessary c) I/We agree to be bound by the terms and conditions of this facility as stipulated in the loan agreement. d) I/We agree to obtain credit insurance cover from the insurance company procured by the Fund. e) Administration fees charged will be 8 % of the loan amount disbursed. f) I/We authorize the Fund to deduct any premiums payable towards such insurance cover and Administration fee from loan granted. g)I/We understand that this application will go through a vetting process and should our loan be approved a loan account of the principle amount requested will be created in the name of the Firm. h)I/We understand the Mbegu Fund Board reserves the right to sanction or decline this application without giving reasons. i) I/We agree that we are jointly and severally liable for repayment of loan in the event of default and j) I/We shall not be eligible for additional loans unless the amount in default has been cleared in full. k)The Fund shall not process incomplete/ defective application form, for which if any loss or delay is caused to me/ us, I/We will not hold the Fund liable for such loss or delay.

BUSINESS PERFORMANCE PER ANNUM:

Or

GROUP BANK DETAILS:

Credit History

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LOAN REQUEST:

DECLARATION

For Officials

We, the undersigned, being the validly elected leaders of the group/enterprise hereby commit the group/enterprise Individually and jointly to repay the loan amount disbursed to the Mbegu Fund appointed Account in equal installments after the month’s grace period.

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UPLOAD FOLLOWING DOCUMENTS: