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Lenderspark Finance SME Loan Application Form

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40 views3 pages

Lenderspark Finance SME Loan Application Form

Uploaded by

my.empire.org
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Social Security Centre Building, 14th Floor, Corner Sam Nujoma & Julius Nyerere

Harare, Zimbabwe
Tel: +2638677004603 Email: [email protected]

SME BUSINESS LOAN APPLICATION FORM


Company PBC Informal body Loan Type

BUSINESS INFORMATION
Registered Name: Trading Name:

Type of Business: Business address:

Period at Current Business Location: Amount of Initial Capital:

Incorporation Date: Certificate of Incorporation Number: BP Number:

Contact Phone Number: Email Address: Number of years in Business:

Sources of Capital: Own Savings Family Gift Loan Other(specify)

Who are your main customers? Individuals Other Businesses Other(specify)

Estimated Annual Sales: Net Profit: Total Liabilities: Net Cash Flow:
Main Product/Services: Main problems Faced by Business:

OTHER BUSINESS INTERESTS


Name of Business: Address of Business: Phone Number:

Number of Employees: Fulltime and Owner Part time Non-paid(family) Total


Neighborhood

Where are your customers from? Neighbourhood Other(specify)

LOAN INFORMATION
Loan Amount: Repayment Period: Purpose of Loan:

Detail Budget Breakdown by order of priority.


I TEM COST

1.

2.

3.

REFERENCES
NAME PHONE NUMBER

1.

2.

3.
SECURI TY (ASSETS PLEDGED)
DESCRI PTION SERI AL/REG NUMBER ESTI MATED ASSET VALUE

1.

2.

3.

Social Security Centre Building, 14th Floor, Corner Sam Nujoma & Julius Nyerere
Harare, Zimbabwe
Tel: +2638677004603 Email: [email protected]

BANKING/MOBILE ACCOUNT DETAI LS


BANK BRANCH ACCOUNT NUMBER

LOANS WI TH OTHER INSTI TUTIONS (ALSO INCLUDE LENDERSPARK


FINANCE LOAN)
INSTI TUTION MONTHLY CURRENT LOAN MATURI TY DATE
BALANCE
INSTALLMENT

DECLARATION
We declare that the information given above is accurate and correct. We are aware that falsifying information automatically leads to decline of
our loan application. We authorise Lenderspark Finance to obtain and use the information obtained for the purposes of this application with any
recognised financial credit bureau. We authorise Lenderspark Finance to obtain references from friends, relatives, neighbours, and business
partners including visits to our homes and verification of our pledged assets. We have read and fully understood the above together with all the
conditions and agree to be bound by Lenderspark Finance terms and conditions.

DIRECTORS SIGNATURE
Director: Name:Signature:Date:

Director: Name:Signature:Date:

Director: Name:Signature:Date:

Director: Name:Signature:Date:

Director: Name:Signature:Date:

FOR OFFICIAL USE ONLY


Received & checked by:

Name:Signature:Date: Approved by:

Name:Signature:Date:
K YC CHECKLIST
Copy of ID, License, Valid Passport
Articles of association/PBC
Stamped 3 months’ Bank Statement
Group Constitution
Proof of Residence/Confirmation Letter
Financial Statement
Certificate of Incorporation
Ecocash Statements where applicable
Resolution to borrow.
Company documents:
CR11
CR6
CR5
MOA

Date and Stamp

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