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Commonwealth Agriculture Loan Application Form
1. Applicant Information
Full Name
*
Date of Birth / Business Registration Date
*
Nationality / Country of Operation
*
ID or Business Registration Number
Contact Address
*
Phone Number
*
Email Address
*
2. Business / Farm Profile
Type of Applicant
*
Individual Farmer
Cooperative
Agribusiness
NGO / Non-profit
Farm/Business Name
*
Location of Farm/Business
*
Ownership Type
Owned
Leased
Customary Land
Size of Farm (hectares/acres)
Years in Operation
*
Main Activities (Crops / Livestock)
Number of Employees
Upload Your Farm/Agriculture Business Registration document
*
3. Loan Details
Loan Amount Requested
*
Purpose of the Loan
*
Equipment Purchase
Land Preparation
Inputs (Seeds/Fertilizer)
Irrigation Setup
Storage/Warehousing
Transportation
Processing Facilities
Expansion
Other
Preferred Repayment Period (Months/Years)
*
Proposed Repayment Schedule
*
Monthly
Quarterly
Yearly
4. Financial Information
Estimated Annual Revenue
*
Annual Expenses
*
Existing Debts or Loans
*
Bank Account Name
*
Bank Name
*
Account Number
*
5. Collateral (if applicable)
Description of Collateral
Estimated Value
Upload Proof of Ownership
6. Supporting Documents Checklist
Valid ID or Registration Certificate
*
Proof of Land Ownership / Lease
Business or Loan Plan
*
Financial Statements
*
Tax Clearance Certificate
*
Past Loan History
Recommendation Letters
7. Declaration
I declare all information is true and accurate
*
I authorize verification of my details
I agree to the terms and conditions
*
Applicant Signature
*
Clear
Date
*
Submit Application
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