Thrive Microfinance Bank | you deserve it!

Loan Request

Full Name / Company Name

Amount Requested

Duration in Months

Preferred repayment basis

If you worked this out on our loan calculator, pick the same basis you compared there.

Working Capital (NGN) Stock or refinance company receivable

Real Estate Acquisition (NGN) For expansion

Equipment Purchase / Lease (NGN)

Vehicle Purchase (NGN)

Others Enter description and amount

Business Identity

Business Legal Name

Trading as

Business Type

Date of Incorporation

Reg No.

TIN

Nature of business/Product Lines

Date commenced business

Physical Business Address

Owned or Rented

Owned Rented

When did you commence business at location

If rented, what is the annual rent (NGN)

When does the rent expire?

Business Telephone No.

Business Email

Other Business Locations

Only if you trade from more than the address above.

Location	Address details	Owned/Rented	If rented, annual rent	Sales/warehouse/factory

Owners of the Business

Name	Address	Phone Number	Email Address

Management

Name	Address	Phone Number	Email Address

Employment & Wages

Current number of employees

Total monthly wage bill

Sales Revenue

Location	Sales Last Year	Sales Cur Yr. to date	Monthly sales	Daily Sales

Key Business Financials

	Value in N'000		Value in N'000
Land and premises owned		Bank loans and overdraft
Cars and trucks		Loans from family and friends
Generators & equipment		Owed to goods suppliers
Stock of unsold goods		Taxes unpaid
Prepaid Rent		Rent unpaid
Debtors
Cash in bank
Total

Sales & Customer Profile

Percentages of your sales, from your biggest product down.

Product 1 share of sales

Product 2 share of sales

Product 3 share of sales

Product 4 share of sales

Cash Sales

Credit Sales

Retail Customer profile

Wholesale Customer profile

What is your gross margin?

How do you market your products?

Which days of the week are sales highest?

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

For which products and why?

What are the main challenges you encounter in the business?

How have you been solving the problems?

What type of insurance do you have on the business?

How would the loan benefit the company?

Do you have any immediate plans for expansion?

When was the last time you went on vacation?

Who runs the company when you are not around?

Have you taken any borrowing before?

If YES, from

Have you defaulted in any borrowing before?

How much is being owed to the company by customers?

Bank Details

Bank Name	Branch	Account No	Date opened	Monthly Turnover

Business Debts

List all business debt including lines of credit, equipment leases or loans, mortgages or shareholder loans and other liabilities.

	Biz Loan 1	Biz Loan 2	Biz Loan 3	Biz Loan 4
Type of Loan
Lender's Name
Date Granted
Original amount granted
Current Balance
Monthly Payment
Collateral

Details of Principal Business Owner and Guarantor (as co applicant)

Principal Business Owner		Guarantor (as Co-applicant)
Name:		Name:
Date of Birth:		Date of Birth:
BVN:		BVN:
Marital Status:		Marital Status:
Home Address:		Home Address:
Personal Email:		Personal Email:
Personal Phone:		Personal Phone:
Business Address:		Business Address:
Business Phone:		Business Phone:
Business Email:		Business Email:
Employer and Address:		Employer and Address:
Occupation/Title		Occupation/Title
Length of Service		Length of Service

Borrower's Declaration

a. By executing this Loan Application Form and by drawing on the loan facility, I/we covenant to repay the loan as and when due in the event that we fail to repay the loan as agreed, and the loan becomes delinquent, you, as the Lender shall have the right to report the delinquent loan to Central Bank of Nigeria (CBN) through the Credit Risk Management System(CRMS) or by any other means and request the CBN to exercise its regulatory power to direct all banks and other financial institutions under its regulatory purview to set-off my/our indebtedness from any money standing to my/our credit in any bank account and from any other financial assets they may be holding for my/our benefit).

b. I/We covenant and warrant that the CBN shall have power to set off my/our indebtedness under this application from all such monies and funds standing to my/our credit/benefit in any and all such accounts or from any other financial assets belonging to me/us and in the custody of any such bank.

c. I/We hereby waive any right of confidentiality whether arising under common law or statute or in any other manner whatsoever and irrevocably agree that I/we shall not argue to the contrary before any court of law, tribunal, administrative authority or any other body acting in any judicial or quasi-judicial capacity

Representations and Warranties

The information contained in this statement is provided to induce you to extend or continue the extension of credit to the undersigned or to others upon the guarantee of the undersigned. The undersigned acknowledge and understand that you are relying on the information provided on this application in deciding to grant or continue credit or to accept a guarantee. Each of the undersigned represents and warrants that the information provided on this application is correct and complete. Each of the undersigned agrees to notify you immediately in writing of any change in name, address, or employment and of  any material adverse change in (1) any of the information contained in this statement, (2) the financial condition of any of the undersigned or the business, or (3) in the ability of any of the undersigned to perform his/her obligations to you. In the absence of this notice or a new and complete written statement, this shall be considered as a continuing statement and substantially correct. If any of the undersigned fails to notify you as required above, or if any of the information on this application is inaccurate or incomplete in any material respect, you may declare the indebtedness of the undersigned or the indebtedness guaranteed by the undersigned, immediately due and payable. You are authorized to make all inquiries you deem necessary to verify the accuracy of the information contained on this application and to determine credit worthiness of the undersigned. The undersigned authorize any person or consumer reporting agency to give you any information it may have on the undersigned. Each of the undersigned authorizes you to answer questions about your credit experience with the undersigned. As long as any obligation or guarantee of the undersigned to you is outstanding, the undersigned shall supply annually an updated personal or business financial sttement. This personal and business financial statement and any other financial information that the undersigned give you shall be your property

Loan Request Form

Loan application form