Carefully provide the requested information needed for a successful application.


Personal Information


Full Name


Date Of Birth


Phone Number


Email Address


Country


State


Local Government


Gender


Select Marital Status


Select No. Of Kids



Business information


Enter Business Name (Optional)

/* if you don't have a business name simply skip this field.

Nature of business

/*e.g "fashion designing, shoe making, petty trade" etc.

What product/services does your business offer?


Business Start Year

/* Enter the year your business started

Select Viability Status


Select No. Of Employees


Select Business Scale


Which Category Does Your Business Operate Under?



Bank Reference Information


Select Funding Amount


Account Name

/* Enter First Name and Last Name only.

Account Number

/* Enter 10 digits account number

Name Of Bank

/* e.g 'Firstbank, UBA, Zenith'

Account Type


How will credited funds be utilised?

/* Write a brief summary of how the requested amount will impact your business expansion.

Disclaimer:

✓ Upon submission, you hearby affirm that the information provided above are credible and not misleading.