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1
Personal Info
2
Business Details
3
Request Details
4
Guarantor Details
About you
First Name
your first name
Last Name
your last name
Your Email
we will email you on it
email
Your Phone no.
we will reach you on it
Another Phone Number
another number we can reach you on
Your Location
or GhanaGPS
Home ownership type
pick one!
Select An Option
Wholly owned
Family House/Free Use
Rented
Ghana Card ID No.
enter starting from GHA
Marital Status
pick one
Select An Option
Single
Married
Divorced
Widowed
Separated
No. of dependants
enter a number
No. of children
enter a number
Other Profession
aside your business
Business Details
Business Name
your registered name
Relationship to business
tick what applies
Shareholder
Director
Key employee
Nature of business
what does your business do?
0
/
Is your business registered?
pick one!
Is your business registered
Yes
No
If yes, upload your form A or Form 3
upload
cloud_upload
Upload
Business Location
or GhanaGPS
Brief direction to Business
Use landmarks
0
/
Type of business
pick one!
Type of Busienss
Sole Proprietorship
Partnership
Company
NGO
Business Phone no.
we will reach you on it
Number of employees
enter a number
Years in business
How long have you been in business?
Select An Option
Under 3 months
3 - 12 months
1 - 2 years
3 - 5 years
Above 5 years
Average monthly sales
pick one!
Select An Option
Under GHS5,000
GHS5,000 - GHS10,000
GHS10,000 - GHS15,000
GHS15,000 - GHS20,000
GHS20,000 - GHS30,000
GHS30,000 - GHS40,000
GHS50,000 - GHS100,000
Over GHS100,000
Ownership of business premises
pick one!
Select An Option
Free use
Owner Occupied
Rented
Do you have bank account(s)
choose
Select An Option
Yes
No
If yes, list banks
enter names of banks
0
/
Request details
Amount Requested
How much do you want?
Loan Purpose
what do you need the advance for?
Loan Purpose
Open a new location
Advertising/Marketing
Equipment
Supplies/Inventory
Hire additional staff
Get me through a slow period
Other use
Give a breakdown of the entire cost you are going to use the loan for
indicate your total contributions
0
/
Repayment period
when do you expect to pay?
Repayment period
Under 3 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
Above 12 months
How much can you pay in a month?
Estimate base on your cash inflows
Briefly explain what plans you have in place to make repayments back to us
within the repayment period selected
0
/
Do you have an existing loan(s) to service?
pick one!
Select An Option
Yes
No
If yes, from which institution
name of financial institution you got loan from
Amount you got
Loan amount you got
For how long
duration of loan you got
Amount repaid so far
how much you've paid out of outstanding amount
Full Name
Guarantor's full name
Contact Number
Guarantor's phone number
Location
brief description of direction to Guarantor's residence
0
/
Home Ownership Type
pick one
Select An Option
Free Use/Family
Owner
Rented
Marital status
pick one
Select An Option
Single
Married
Divorced
Ghana Card ID No
Guarantor's ID
Occupation
Guarantor's occupation
I agree with
Built's Terms & Conditions.
Submit Application
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