This document is a loan application form for corporate clients at Orilonise Microfinance Bank Limited, requiring detailed business and personal information from the applicant. It includes sections for business details, proprietor's information, and an undertaking to abide by the bank's rules regarding loan repayment. The form also contains sections for internal office use, recommendations, and a declaration by the customer regarding the pledged security for the loan.
This document is a loan application form for corporate clients at Orilonise Microfinance Bank Limited, requiring detailed business and personal information from the applicant. It includes sections for business details, proprietor's information, and an undertaking to abide by the bank's rules regarding loan repayment. The form also contains sections for internal office use, recommendations, and a declaration by the customer regarding the pledged security for the loan.
This document is a loan application form for corporate clients at Orilonise Microfinance Bank Limited, requiring detailed business and personal information from the applicant. It includes sections for business details, proprietor's information, and an undertaking to abide by the bank's rules regarding loan repayment. The form also contains sections for internal office use, recommendations, and a declaration by the customer regarding the pledged security for the loan.
This document is a loan application form for corporate clients at Orilonise Microfinance Bank Limited, requiring detailed business and personal information from the applicant. It includes sections for business details, proprietor's information, and an undertaking to abide by the bank's rules regarding loan repayment. The form also contains sections for internal office use, recommendations, and a declaration by the customer regarding the pledged security for the loan.
BUSINESS NAME: ______________________________________________________________________________________________
ACCOUNT NUMBER: ___________________________________________________________________________________________ MANDATORY SAVINGS ACCOUNT NUMBER_____________________________________________________________________ BUSINESS ADDRESS: ____________________________________________________________________________________________ ______________________________________________________________________________________________________________ NATURE OF BUSINESS: _________________________________________________________________________________________ HOW LONG HAVE YOU BEEN IN THE BUSINESS: __________________________________________________________________ C.A.C REG NO: _______________________________ STAFF STRENGHT: ______________________________________________ ESTIMATED SALES VOLUME PER DAY N: __________________________________________________________________________ COST OF GOODS AND OTHER EXPENSES:________________________________________________________________________ HOW MANY TIMES HAVE YOU ENJOYED THIS FACILITY IN THE LAST THREE YEARS: ___________________________________ AMOUNT OF LOAN REQUESTED FOR: ______________________REPAYMENT PLAN ____________________________________ PURPOSE OF LOAN: ___________________________________________________________________________________________ SECURITY / COLLATERAL PLEDGE: ______________________________________________________________________________ DESCRIPTION OF THE COLLATERAL _____________________________________________________________________________ ESTIMATED VALUE N: __________________________________________________________________________________________ SECTION 2: PROPRIETOR’S INFORMATION NAME (SURNAME FIRST) _______________________________________________________________________________________ HOME ADDRESS: ______________________________________________________________________________________________ ______________________________________________________________________________________________________________ HOW MANY YEARS HAVE YOU SPENT IN THE AREA/COMMUNITY __________________________________________________ DO YOU LIVE IN YOUR OWN OR RENTED HOUSE: OWN HOUSE [ ] RENTED HOUSE [ ] FAMILY COMPOUND [ ] PHONE NO: _______________________NEAREST BUS STOP TO YOUR HOUSE _________________________________________ AGE: ……………………. SEX …………………………… MARITAL STATUS: ………………………… ARE YOU ENGAGED IN ANOTHER BUSINESS OR SALARY JOB: ______________ IF YES, STATE NAME AND ADDRESS ____________________________________________________________________________________ ______________________________________________________________________________________________________________ NET INCOME/SALARY PER MONTH N: ___________________________________________________________________________ NAME OF CHURCH/MOSQUE __________________________________________________________________________________ ADDRESS OF CHURCH/MOSQUE: ______________________________________________________________________________ ______________________________________________________________________________________________________________ NAME OF THE PASTOR/IMAM:__________________________________________________________________________________ YOUR POSITION:_________________________________ YEARS OF MEMBERSHIP_______________________________________ I HEREBY DECLARE THAT THE ABOVE INFORMATION IS TRUE AND CORRECT. APPLICANT’S SIGNATURE_____________________________________DATE: _______________________
SECTION 3: UNDERTAKING I UNDERTAKE THAT: I PROMISE TO ABIDE BY THE RULES AND REGULATIONS AND CONDITIONS ATTACHED TO THE CREDIT FACILITY TO BE ADVANCED TO ME. IN CASE OF MY FAILURE TO REPAY THE LOAN GIVEN TO ME AS AT WHEN DUE, THE MANAGEMENT OF ORILONISE MICROFINANCE BANK IS AUTHORIZED TO ENGAGE THE SERVICES OF LAW ENFORCEMENT AGENCIES SUCH AS POLICE, EFCC, ICPC, CIVIL DEFENSE ETC. TO RECOVER THE BALANCE DUE WITH INTEREST. CUSTOMER’S NAME …………………………………………………………………………………………
WITNESS’S NAME ………………………………………………SIGN AND DATE…………………………………………
SECTION 4: FOR OFFICE USE:
CREDIT OFFICER’S COMMENT: IN YOUR OPINION CAN THE CUSTOMER MANAGE THE FACILITY EFFECTIVELY? YES OR NO IN YOUR RECOMMENDATION BRIEFLY JUSTIFIES YOUR POSITION ON THE ABOVE BASED ON:
a) PREVIOUS EXPERIENCES: (A) EXCELLENT (B) GOOD (C) AVERAGE (D) BAD
b) CAPACITY TO MANAGE THE FUND: (A) EXCELLENT (B) GOOD (C) AVERAGE (D) BAD
c) ENVIRONMENTAL FACTOR: (A) EXCELLENT (B) GOOD (C) AVERAGE (D) BAD
AMOUNT RECOMMENDED………………………………………………….. NAME: ___________________________________________SIGN AND DATE: ________________________ HEAD OF MARKETING’S COMMENT: IN YOUR OPINION CAN THE CUSTOMER MANAGE THE FACILITY EFFECTIVELY? YES OR NO IN YOUR RECOMMENDATION BRIEFLY JUSTIFIES YOUR POSITION ON THE ABOVE BASED ON:
a) PREVIOUS EXPERIENCES: (A) EXCELLENT (B) GOOD (C) AVERAGE (D) BAD
d) CAPACITY TO MANAGE THE FUND: (A) EXCELLENT (B) GOOD (C) AVERAGE (D) BAD
b) ENVIRONMENTAL FACTOR: (A) EXCELLENT (B) GOOD (C) AVERAGE (D) BAD
AMOUNT RECOMMENDED…………………………………………………..
NAME: ___________________________________________SIGN AND DATE: ________________________
HEAD OF RECOVERY RECOMMENDATION: ………………………………. ……………………………………..
HEAD OF OPERATION RECOMMENDATION: …………………………. ……………………………………..
HEAD INTERNAL AUDIT RECOMMENDATION: ………………………. …………………………………….
MANAGING DIRECTOR RECOMMENDATION: ………………………… …………………………………
DECLARATION BY THE CUSTOMER
IN CONSIDERATION OF THE LOAN ADVANCE OF N……………………. GRANTED TO ME BY ORILONISE MICROFINANCE BANK LIMITED, I WILLINGLY PLEDGED TO HOLD, IN ADDITION TO THE SECURITY PLEDGE, ALL THE GOODS, STOCKS AND ITEMS NOW STOCKED AND THEREAFTER TO BE STOCKED IN MY SHOP AND ITEMS IN MY HOUSE IN TRUST FOR THE BANK AND SURRENDER THE SAME ON DEMAND.
I FURTHER AGREE THAT FAILURE TO REPAY ANY OUTSTANDING PLUS THE INTEREST DUE, THE BANK SHALL BE AT LIBERTY TO TAKE FULL POSSESSION AND UTILIZE SUCH STOCKS AND ALL GOODS IN MY SHOPS AND ITEMS IN MY HOUSE FOR THE PURPOSE OF REPAYMENT OF THE INDEBTEDNESS OR LIABILITIES AS AFOREMENTIONED. THE BANK SHALL BE UNDER NO OBLIGATION IN RESPECT OF THE GOODS NOR SHALL THE BANK BE LIABLE FOR ANY LOSS ARISING OUT OF SUCH SALES AND OR REALIZATION. ALL LEGAL FEES, STAMP DUTIES AND OTHER EXPENSES ALSO ……………………………….. WITH THE DOCUMENTATION, PERFECTION, ADMINISTRATION AND RECOVERY OF THE FACILITY SHALL BE DEBITED TO MY ACCOUNT.
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