Business Loan Application Form Page 2

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3.
4.
5.
D.
BACKGROUND INFORMATION
Answer all questions
Business: Has the business (ie.the sole proprietorship, corporation or other entity) or any office, director or
general partner of the Business ever been convicted of any felony under Ghanaian or foreign law?
Yes
No
Ownership: Has any owner (whether an individual a partnership, corporation or other entity) or any office,
director or general partner of any owner ever been convicted of any felony under Ghanaian of foreign law?
Yes
No
E.
BUSINESS TRADE REFERENCES
Name of company ____________________________________________________________________
Address ____________________________________________________________________________
City __________________________________ Country ______________________________________
Account No _________________________ Contact name ____________________________________
Phone No _____________
Name of company ____________________________________________________________________
Address ____________________________________________________________________________
City __________________________________ Country ______________________________________
Account No _________________________ Contact name ___________________________________
Phone No _____________
2
Nationwide Microfinance Limited

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