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CITIZENS
NON-CITIZENS
BUSINESS
How much do you want to loan?
N21 million - N50 million
N11 million - N20 million
N5 million - N10 million
Sector
Aquaculture
Second Choice
Third Choice
Name of business entity
Type of entity
Enterprise
Cooperative
Limited Liability
Public Limited Company
Incoperation / Registration No
Date of incoperation
Date Format: MM slash DD slash YYYY
Business status
Startup
Expansion
Have you obtained the requisite regulatory certi·cation(s)/license(s) for the product(s)/service(s) where applicable?
Yes
No
Describe the (proposed) product(s)/service(s) of the business
For your business premises which of these apply, please indicate.
Is the factory building completed?
Yes
No
Is the title document in place?
Yes
No
Leased/rented factory building with approved building plan/title
Yes
No
Please indicate the purpose/utilization of the proposed loan:
Plant and Machinery
Utilities (Generator, Transformer, etc)
Working Capital (Raw Materials/ consumables)
Do you have an active bank account in the name of the business?
Yes
No
Do you have audited accounts / Statement of affairs?
Yes
No
Please indicate loan amount
Do you have a business plan?
Yes
No
Have you engaged an SME consultant?
Yes
No
What is your proposed security for the loan
Landed property(ies) in an urban area with valid title documents
Bank Guarantee from a Commercial Bank
Guarantors
Others
Contact Person
Full Name
Email
Phone
Address
Street Address
Address Line 2
City
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61, Adetokunbo Ademola Crescent, Wuse 2, Abuja, FCT. Nigeria.
Phone
234 807 399 0518
Email
servicedesk@galaxybackbone.com.ng
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