ENTERPRISE GRADUATE SME EMPOWERMENT SCHEME APPLICATION FORM FORM NO :

Transcription

ENTERPRISE GRADUATE SME EMPOWERMENT SCHEME APPLICATION FORM FORM NO :
PASSPORT
PHOTOGRAPH
ENTERPRISE GRADUATE SME EMPOWERMENT SCHEME
APPLICATION FORM
FORM NO :
Please ll in capital letters, providing all relevant information. Please ll as completely and as accurately as possible
Applicant Details:
Business type:
Limited Liability
Partnership
Enterprise
Name of applicant:
RC Number (if applicable):
Registered ofce address (Not PO Box) (if applicable):
Date of Incorporation (if applicable):
D/D
M/M
Y/Y/Y/Y
Address of principal place of business (if applicable)
How long have you been in business? (if applicable)
Have you undergone any entrepreneurship training?
(If yes) Name of institution/programme
Duration
Year and Type of Certicate(if obtained)
Monthly turnover analysis (if applicable)
Month 1
Month 2
Month 3
Month 4
Month 4
Month 5
Average monthly turnover
Projected monthly turnover
Brief description of proposed business (if applicable)
Business phone number:
Operating at location since:
D/D
M/M
Y/Y/Y/Y
Educational Qualication
HND
Highest Educational Qualication:
BSC
MSC
MBA
OTHERS
Name of institution:
Year of graduation:
Personal Information
Surname:
Title
Date of birth
First-name:
Mr
D/D
Personal Identication
Driver’s License
Date issued
D/D
Mrs
M/M
Other name:
Miss
Other
Gender
Y/Y/Y/Y
International
passport
M/M
Marital status Single
Telephone number
Market/Association
ID
National ID
Expiry date
Y/Y/Y/Y
Married
Divorced
Widowed
M
Identication number
D/D
M/M
Y/Y/Y/Y
Other (please specify)
Current residential address
Address (Not PO Box)
City/Town
Living at address since
D/D
M/M
Y/Y/Y/Y
LGA
State
Tenant
Tenant
Spouses details (if applicable)
Date of birth
D/D
M/M
Y/Y/Y/Y
Occupation
Telephone number
Personal Identication
International
passport
Driver’s License
Date issued
D/D
Telephone number
M/M
National ID
Market/Association
ID
Expiry date
Y/Y/Y/Y
Identication number
D/D
M/M
Y/Y/Y/Y
F
Current residential address
Address (Not PO Box)
City/Town
LGA
Living at address since
D/D
M/M
State
Ower
Y/Y/Y/Y
Tenant
Referee Details
First-name:
Surname:
Title
Mr
Relationship to applicant
Mrs
Owner
Other name:
Miss
Director
Other
Company Secretary
Partner
Other (please specify)
Date of birth
D/D
M/M
Occupation
Y/Y/Y/Y
M
Gender
F
Personal Identication
International
passport
Driver’s License
Date issued
D/D
Marital status
Single
M/M
National ID
Market/Association
ID
Expiry date
Y/Y/Y/Y
Married
Divorced
Widowed
Identication number
D/D
M/M
Y/Y/Y/Y
Other (please specify)
Telephone number
Current residential address
Address (Not PO Box)
{Change of Address must
be notified immediately}
City/Town
Living at address since
D/D
M/M
Y/Y/Y/Y
LGA
State
Owner
Tenant
Referee Details
Surname:
Title
First-name:
Mr
Relationship to applicant
Date of birth
D/D
Mrs
Owner
M/M
Other name:
Miss
Director
Other
Company Secretary
Partner
Other (please specify)
Occupation
Y/Y/Y/Y
M
Gender
F
Personal Identication
International
passport
Driver’s License
Date issued
D/D
Marital status
Single
M/M
National ID
Market/Association
ID
Expiry date
Y/Y/Y/Y
Married
Divorced
Widowed
Identication number
D/D
M/M
Y/Y/Y/Y
Other (please specify)
Telephone number
Telephone number
Current residential address
Address (Not PO Box)
City/Town
Living at address since
LGA
D/D
M/M
Y/Y/Y/Y
State
Owner
Tenant
Declaration
I/We conrm that the details provided above and in any attached documents are a true reection of my/our personal, business and other details. I
addition to accepting this loan offer, I/we agree to the terms and conditions contained herein.
Concurrence by Refree
Date
D/D
M/M
Y/Y/Y/Y
Customer Signature
Date
D/D
M/M
Y/Y/Y/Y
TERMS AND CONDITIONS
Selection for this scheme is strictly based on the decision of the selection panel and independent of the entrepreneurship training
This facility is an unsecured term loan to bridge funding gaps of SMEs' owned by fresh University and Polytechnic Graduates) that provide
non-cyclical products & services
The product is targeted at business owned by graduates of universities and polytechnics who have completed the mandatory national youth
service and are unemployed
This scheme is limited to young and budding SME's in the embryonic stage of their business life cycle
Your specic business/proposed start-up must have been certied by both our strategic partners and your tertiary institution, before selection
will be considered
Qualied start-up businesses include but are not limited to; Trading; Service & Manufacturing of Consumer staples; Health care & health related
business; Utilities; leather products; laundry services; fashion; beauty & grooming Services etc
You will be required to make up 30% of your required capital
Enterprise Bank, upon the applicant meeting all necessary criteria, will fund 70% of applicant’s start-up capital
The loan tenure for this scheme does NOT exceed two years
The beneciary must have opened an Enterprise Graduate Empowerment Savings Scheme (EGESS) account
Evidence of having successfully undergone entrepreneurial developmental courses in the university/Polytechnic (where applicable) and certication
by any of the Bank's strategic partner for this scheme, must be presented for consideration.
Business proposal must be certied as satisfactory by strategic partner and the Bank's review panel for the scheme.
This facility shall be accessible to University and Polytechnic graduates who graduated not more than 5 years ago
DOCUMENTATION
The following documentation will be required from interested participants for eligibility:
Duly accepted offer letter for the facility
Duly executed SME application form
Irrevocable letter of undertaking to domicile all proceeds to Enterprise Bank
Request letter
Key man insurance by EBL appointed insurance company
Satisfactory credit bureau report
Satisfactory conrmation of Applicant's Degree certicate
6 months statement of account where applicable
Customer asset report where applicable- this report shows a summary of the discounted value of the customers asset and liability
Letter of undertaking not to secure additional facility from any other bank without the written consent of Enterprise Bank