Business Loan Application Form Page 3
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3F.
BUSINESS BANK REFERENCES
Provide at least one business bank reference
Name of Bank _______________________________________Branch____________________________
Address _____________________________ City ________________________Country _____________
Account No _________________________ Contact name _____________________________________
Phone No_____________________
(Signatory to the account (s).)
1. _________________________/__________________________________/___________________
Signature
Name
Position
2. _________________________/__________________________________/___________________
Signature
Name
Position
Name of Bank _________________________________Branch__________________________________
Address _____________________________ City ________________________Country _____________
Account No _________________________ Contact name _____________________________________
Phone No_____________________
1. _________________________/__________________________________/___________________
Signature
Name
Position
2. _________________________/__________________________________/___________________
Signature
Name
Position
G
. LOAN REQUIREMENT DETAILS
Gross Annual Turnover GH¢ __________________________________________________________
Net Monthly Income from Business GH¢ ________________________________________________
Loan Amount Required: GH¢ _________________________________________________________.
Loan Duration ______________________________________________________________________
Loan Purpose_______________________________________________________________________
Above information is supplied by_________________________/__________________on______________
Name
Signature
Date
3
Nationwide Microfinance Limited
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