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MSME LOAN APPLICATION  FORM

DELTA STATE MICRO, SMALL & MEDIUM ENTERPRISES DEVELOPMENT AGENCY

(DEMSMEDA)

Olorogun Felix Ibru Secretariat Annex, Mariam Babangida Way Asaba

(MSME LOAN APPLICATION  FORM)

 

    BUSINESS DESCRIPTION Category-of-Business --->Micro or Small or Medium) Type-of-Business----> Liability or Sole proprietorship or Enterprises or Cooperative)" Nature-of-Business Sub-type of Business Business Address Business Phone Number Business Email LGA of Business Purpose of Loan Are you indebted to anybody (creditor)? ---> Yes or No If Yes Which Body How Much Proposed Loan Amount N Duration of loan Repayment Plan ---> (Monthly Instalments or Weekly Instalments) Collateral type Name of Business Owner Residential Address Phone number 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.