MSME GRANT APPLICATION FORM

BUSINESS DESCRIPTION Name of Business Is Your Business registered? If-yes-where ---> Limited Liability or Sole proprietorship or Enterprises or Cooperative Registration-No Date of Registration Nature-of-Business Sub-type of Business Business Address Business Phone Number Business Email LGA of Business Purpose of Grant?---> To pay Employees salaries or To pay for Office Rent or For other Operational expenses or To buy Equipment or For Working Capital Name of Business Owner Residential Address Phone number Email LGA of Origin Age DECLEARATION …………………………………………………………………………………………………………………Hereby declare that all the above information are true and verifiable and that any false and/or misleading information given by me shall lead to automatic disqualification.     Submit