NIRSAL

Status

Reason

Company Name *

CAC Registration Number *

Date of Incorporation *

How long has your business been in operation (Years)? *

Business Location/Address *

MD/CEO/Business Promoter *

Email Address *

Phone Number *

Key Management Staff – Name, Qualification

Name *

Qualification *

Company Core Values, Mission, and Vision Statement *

What Value Chain Segment do you Operate in? *

Pre-upstream (Inputs, Mechanization)
Upstream (Farming, Primary Production)
Midstream (Processing, Logistics)
Downstream (Domestic/Industrial/Export Markets, Grain Merchants)

What services/products does your business provide? *

Who are your key customers?

Customer *

Have you articulated your business model and operating structure? *

If No, would you like NIRSAL provide this service for you? *

Do you have a Business Plan? *

Yes, I have a Business Plan
No, I would like NIRSAL to develop a Business Plan for me

What are your expansion plans? *

Have you done a feasibility study? *

If No, would you want NIRSAL to provide this service? *

What is your competitive advantage? *

Describe Your Target Market *

Do you have a verifiable guaranteed off-take? *

Would you like NIRSAL to provide market linkages for your products/services? *

Would you like NIRSAL to provide Farmland/Farmers and any other aggregation support? *

How much financing do you need? *

Clearly state the purpose of the facility *

What Collateral are you providing for this facility? *

Do you have a source of finance for this request? *

If Yes, Please state the source? *

If No, would you like NIRSAL to facilitate finance for this request? *

What type of Finance would you prefer? *

Conventional Bank Loans
Development Finance
Non-Interest Finance

Source of loan repayment (repayment plan) *

Do you have a three-years audited accounts? *

Do you have an annual bank statement? *

Do you have cashflow projections? If NO, would you like NIRSAL to provide this service for you? *

Yes
No, I would like NIRSAL to provide this service

state NO, do

Has your company taken loan before? *

If YES, how much and with which lending institution? *

Does your company currently have any outstanding loans or credit facilities? *

If YES, specify the lending institution(s), loan amount, tenor, and repayment status. *

Does your company have a management accounts in place? *

If No, would you like NIRSAL to help you in doing your Management Accounts? *

How much equity contribution/cash collateral can you put up? *

What is your Average Annual Turnover? *

State the Value of your Existing Assets *