PASSPORT PHOTOGRAPH ENTERPRISE GRADUATE SME EMPOWERMENT SCHEME APPLICATION FORM FORM NO : Please ll in capital letters, providing all relevant information. Please ll as completely and as accurately as possible Applicant Details: Business type: Limited Liability Partnership Enterprise Name of applicant: RC Number (if applicable): Registered ofce address (Not PO Box) (if applicable): Date of Incorporation (if applicable): D/D M/M Y/Y/Y/Y Address of principal place of business (if applicable) How long have you been in business? (if applicable) Have you undergone any entrepreneurship training? (If yes) Name of institution/programme Duration Year and Type of Certicate(if obtained) Monthly turnover analysis (if applicable) Month 1 Month 2 Month 3 Month 4 Month 4 Month 5 Average monthly turnover Projected monthly turnover Brief description of proposed business (if applicable) Business phone number: Operating at location since: D/D M/M Y/Y/Y/Y Educational Qualication HND Highest Educational Qualication: BSC MSC MBA OTHERS Name of institution: Year of graduation: Personal Information Surname: Title Date of birth First-name: Mr D/D Personal Identication Driver’s License Date issued D/D Mrs M/M Other name: Miss Other Gender Y/Y/Y/Y International passport M/M Marital status Single Telephone number Market/Association ID National ID Expiry date Y/Y/Y/Y Married Divorced Widowed M Identication number D/D M/M Y/Y/Y/Y Other (please specify) Current residential address Address (Not PO Box) City/Town Living at address since D/D M/M Y/Y/Y/Y LGA State Tenant Tenant Spouses details (if applicable) Date of birth D/D M/M Y/Y/Y/Y Occupation Telephone number Personal Identication International passport Driver’s License Date issued D/D Telephone number M/M National ID Market/Association ID Expiry date Y/Y/Y/Y Identication number D/D M/M Y/Y/Y/Y F Current residential address Address (Not PO Box) City/Town LGA Living at address since D/D M/M State Ower Y/Y/Y/Y Tenant Referee Details First-name: Surname: Title Mr Relationship to applicant Mrs Owner Other name: Miss Director Other Company Secretary Partner Other (please specify) Date of birth D/D M/M Occupation Y/Y/Y/Y M Gender F Personal Identication International passport Driver’s License Date issued D/D Marital status Single M/M National ID Market/Association ID Expiry date Y/Y/Y/Y Married Divorced Widowed Identication number D/D M/M Y/Y/Y/Y Other (please specify) Telephone number Current residential address Address (Not PO Box) {Change of Address must be notiﬁed immediately} City/Town Living at address since D/D M/M Y/Y/Y/Y LGA State Owner Tenant Referee Details Surname: Title First-name: Mr Relationship to applicant Date of birth D/D Mrs Owner M/M Other name: Miss Director Other Company Secretary Partner Other (please specify) Occupation Y/Y/Y/Y M Gender F Personal Identication International passport Driver’s License Date issued D/D Marital status Single M/M National ID Market/Association ID Expiry date Y/Y/Y/Y Married Divorced Widowed Identication number D/D M/M Y/Y/Y/Y Other (please specify) Telephone number Telephone number Current residential address Address (Not PO Box) City/Town Living at address since LGA D/D M/M Y/Y/Y/Y State Owner Tenant Declaration I/We conrm that the details provided above and in any attached documents are a true reection of my/our personal, business and other details. I addition to accepting this loan offer, I/we agree to the terms and conditions contained herein. Concurrence by Refree Date D/D M/M Y/Y/Y/Y Customer Signature Date D/D M/M Y/Y/Y/Y TERMS AND CONDITIONS Selection for this scheme is strictly based on the decision of the selection panel and independent of the entrepreneurship training This facility is an unsecured term loan to bridge funding gaps of SMEs' owned by fresh University and Polytechnic Graduates) that provide non-cyclical products & services The product is targeted at business owned by graduates of universities and polytechnics who have completed the mandatory national youth service and are unemployed This scheme is limited to young and budding SME's in the embryonic stage of their business life cycle Your specic business/proposed start-up must have been certied by both our strategic partners and your tertiary institution, before selection will be considered Qualied start-up businesses include but are not limited to; Trading; Service & Manufacturing of Consumer staples; Health care & health related business; Utilities; leather products; laundry services; fashion; beauty & grooming Services etc You will be required to make up 30% of your required capital Enterprise Bank, upon the applicant meeting all necessary criteria, will fund 70% of applicant’s start-up capital The loan tenure for this scheme does NOT exceed two years The beneciary must have opened an Enterprise Graduate Empowerment Savings Scheme (EGESS) account Evidence of having successfully undergone entrepreneurial developmental courses in the university/Polytechnic (where applicable) and certication by any of the Bank's strategic partner for this scheme, must be presented for consideration. Business proposal must be certied as satisfactory by strategic partner and the Bank's review panel for the scheme. This facility shall be accessible to University and Polytechnic graduates who graduated not more than 5 years ago DOCUMENTATION The following documentation will be required from interested participants for eligibility: Duly accepted offer letter for the facility Duly executed SME application form Irrevocable letter of undertaking to domicile all proceeds to Enterprise Bank Request letter Key man insurance by EBL appointed insurance company Satisfactory credit bureau report Satisfactory conrmation of Applicant's Degree certicate 6 months statement of account where applicable Customer asset report where applicable- this report shows a summary of the discounted value of the customers asset and liability Letter of undertaking not to secure additional facility from any other bank without the written consent of Enterprise Bank