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Loan Application Form
Step
1
of
2
50%
APPLICANT DETAILS
APPLICANT’S FULL NAME
(Required)
CUSTOMER TYPE
Customer Type
(Required)
Individual
Group
Irrigation Scheme
Company
ID No. (Reg Number)
(Required)
DATE OF BIRTH/ESTABLISHMENT
(Required)
MM slash DD slash YYYY
ADDRESS
(Required)
CONTACT DETAILS
Tel No.
Mobile
Email
ACCOUNT NUMBER
(Required)
FARM DETAILS
Farm Name
(Required)
Total Area (HA)
(Required)
Arable (HA)
(Required)
Irrigable (HA)
(Required)
Tenure Type
(Required)
Communal
A1
A2
Commercia
Resettlements
Other
Land access type
(Required)
Lease
Joint Venture
Offer Letter
Freehold
Other
Province
(Required)
District
(Required)
LOAN FACILITIES REQUIRED
(Required)
AMOUNT REQUIRED ($)
PURPOSE (eg seed, chemicals, labour, utilities etc)
PROPOSED REPAYMENT (eg. 6months, 12months, 24months etc)
Add
Remove
PROPOSED PROGRAMS
Cropping
Livestock
Other
OTHER COMPLEMENTARY ACTIVITIES/OTHER INCOME SOURCES
EXISTING LOAN FACILITIES (including other banks/lenders)
LENDER
TYPE OF LOAN (working capital/Capex)
LIMIT ($)
OUTSTANDING BALANCE ($)
EXPIRY DATE
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Remove
SECURITY OFFERED/PROPOSED
TYPE OF SECURITY (Immovable/movable)
DESCRIPTION (eg dwelling house, equipment, commercial property, stocks etc)
ESTIMATE VALUE ($)
Add
Remove
PRODUCTION HISTORY
SEASON (eg. 2020/21)
CROPPING (OR any other activity)
HECTARAGE (HA) (eg 100ha)
YIELDS PER HA (eg 5t/ha)
TOTAL YIELD (500t)
Add
Remove
Please attach files below:
Income & Expenditure Statement for the past 3 years
(Required)
Max. file size: 8 MB.
Balance Sheet for the past 3 years
(Required)
Max. file size: 8 MB.
Projected Cash flows covering the loan period required
(Required)
Max. file size: 8 MB.
Business plan
(Required)
Max. file size: 8 MB.
PRODUCTION ENABLERS/FACILITIES
Water Source
(Required)
Dam
River
Boreholes
Irrigation Type
(Required)
Pivots
Sprinkler
Flood
Power Supply
(Required)
ZESA
Solar
Both
Critical Equipment Available
Type
Quantity
State of use
Add
Remove
Consent
I agree
I/We declare and acknowledge that the information given above is correct, accurate and true,
and that falsification of information disqualifies any application. The Bank reserves the right to
withdraw assistance if this declaration is false.
Authorized Signatories
Nane
Date
Add
Remove
Important Note:
The Bank reserves the right to approve, defer, decline or withdraw any application without giving reasons.
APPLICATION REQUIREMENTS
a. Individuals
Copy of ID
Proof of land access/ownership/lease/allocation/permit
Previous sales sheet (an added advantage)
Recommendation from local Leadership-Chief/Councillor/Headman (added advantage)
Bank statements and current/recent facility letters from other banks
Proof of offtake/ production contract
b. Companies/ Cooperatives/ Groups
CR14 and copies of ID for directors/members/ Cooperative Registration Documents
Certificate of incorporation or any registration documents/ Copy of constitution
Memorandum and articles of association
Company resolution to borrow
Financial Statements covering 3 years were applicable
Business plan and supporting information
About AFC Holdings
Institutional Overview
Vision, Mission & Values
Board Of Directors
Executive Management
Investments
Tenders
Careers
Commercial Bank
Land & Development Bank
Leasing
Insurance
Media Centre
Press Release
Gallery
News & Updates