Business Loan Application Form
Business Information
Registered Business Name:
Trading Name (if different):
Business Registration Number:
Tax Identification Number (TIN):
Business Address:
Business Phone Number:
Business Email Address:
Website (if applicable):
Year Business Started:
Owner / Director Information
Full Name:
Position in Business:
Date of Birth:
National ID / Passport Number:
Phone Number:
Residential Address:
Percentage Ownership:
Loan Request Details
Loan Amount:
Currency:
Purpose of Loan:
Other:
Working Capital
Equipment Purchase
Business Expansion
Inventory Purchase
Staff Salaries
Vehicle Purchase
Construction / Renovation