Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 4Percentage ScoreCompany NameCAC Registration NumberDate of IncorporationHow long has your business been in operation (Years)?Business Location/AddressMD/CEO/Business PromoterEmail AddressPhone Number Key Management Staff – Name, Qualification NameQualification Company Core Values, Mission, and Vision StatementNextWhat 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?YesNoIf No, would you like NIRSAL provide this service for you?YesNoDo you have a Business Plan?Yes, I have a Business PlanNo, I would like NIRSAL to develop a Business Plan for meWhat are your expansion plans?Have you done a feasibility study?YesNoIf No, would you want NIRSAL to provide this service?YesNoWhat is your competitive advantage?Describe Your Target MarketDo you have a verifiable guaranteed off-take?Would you like NIRSAL to provide market linkages for your products/services?YesNoWould you like NIRSAL to provide Farmland/Farmers and any other aggregation support?YesNoPreviousNextHow much financing do you need? verifiable provide Name Clearly state the purpose of the facilityWhat Collateral are you providing for this facility?Do you have a source of finance for this request?YesNoIf Yes, Please state the source?If No, would you like NIRSAL to facilitate finance for this request?YesNoWhat type of Finance would you prefer?Conventional Bank LoansDevelopment FinanceNon-Interest FinanceSource of loan repayment (repayment plan)Do you have a three-years audited accounts?YesNoDo you have an annual bank statement?YesNoDo you have cashflow projections? If NO, would you like NIRSAL to provide this service for you?YesNo, I would like NIRSAL to provide this servicePreviousNextHas your company taken loan before?YesNoIf YES, how much and with which lending institution?Does your company currently have any outstanding loans or credit facilities? YesNoIf YES, specify the lending institution(s), loan amount, tenor, and repayment status.Does your company have a management accounts in place?YesNoIf No, would you like NIRSAL to help you in doing your Management Accounts?YesNoHow much equity contribution/cash collateral can you put up?What is your Average Annual Turnover?State the Value of your Existing AssetsPreviousSubmit
