CONFIDENTIAL
YOUTH ENTERPRISE REVOLVING FUND
(Finance and audit act No.18 of 1967, & YERF regulations, 2009)
FUND OFFICIAL USE ONLY
APPLICATION NO. ………………………………………
DATE RECEIVED …………………………………………
AMOUNT E…………………………………………………
REGISTERED BY…………………………………………..
1. FULL NAME & TITLE OF APPLICANT ……………………………………………………………………………………………………………………………………………….…………………………………………………………………………………...
2. FULL NAME OF COMPANY/ COOPERATIVE (IF REGISTERED) ………………………………………………………………………………………………..………………………………………….……………………………………………..….
TRADING STYLE/NAME…………………………………………………………………………………………………………………………………….…………………………………………………………………………...………………………………..…
IS YOUR BUSINESS CURRENTLY OPERATING? (TICK WHERE APPROPRIATE) YES NO
NUMBER OF COMPANY DIRECTORS …………………………………………………………………
3. POSTAL ADDRESS …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
CELL NO. ………………………………………………………….………………………………………………………… TEL NO/OTHER NO. ………………………………………………………….………………………………………..…………………..
PHYSICAL OR RESIDENTIAL ADDRESS/LOCATION …………………………………………………….………………………………………………………………….…….…………………………………………………………….............
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….……………………
PHYSICAL BUSINESS ADDRESS/LOCATION ………………………………………………………………..………………………………………………………………………………………………………….………………………………………….…..
…..……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
EMAIL ADDRESS …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………...……………….……
4. NATIONALITY …………………………………………………………………………………………………….
5. DATE OF BIRTH …………………………………………………………………………………………………. GENDER (Male/Female) ………………………………………….…………… …………………………
6. IDENTITY NUMBER (PIN) (COMPULSORY) …………………………………………………………………..…………………………………………………………………………………………………………………
7. GRADED TAX No……………………………………………………………………………………………………………………………….……………………………………………………………………………….……….….
8. REGION …………………………………………………………………………………… INKHUNDLA…………………………………………………………………….. AREA ………………………………………………………………………. …………
CHIEF ……………………………………………………………………………………………………………………….. INDVUNA …………………………………………………………………...................... ……………………………………………..
9. NEXT OF KIN FULL NAME…………………………………………………………………………………………………………..RELATIONSHIP………………………………………………...TEL/CELL NO…………………………………………..
10. MARITAL STATUS ……………………………………………………………………………………………..
10.1 IF MARRIED STATE HUSBANDS’/WIFE’s NAME……………………………………………………………………………………………………………………………………………………………………………………………………………….
10..2 HUSBANDs’/WIFE’S OCCUPATION ………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
10.3 MARRIED WHETHER IN COMMUNITY OF PROPERTY, ANTE NUPTUAL, SWAZI CUSTOM ……………………………………………………..…………………………………………………………………………………………
11. IF EMPLOYED STATE
(a) NAME & ADDRESS OF EMPLOYER ……………………………………………………………………………………………………………………………………………………………………………………………………………………………….
12. DO YOU HAVE AN ACCOUNT WITH A LOCAL BANK? ................... IF YES (a) WHICH BANK…………………………………………………………………………. (b) BRANCH……………………………………….….............
(c) STATE ACCOUNT NUMBER ……………………………………………………………………………………………………………..……………………………….…………….
YOUTH ENTERPRISE REVOLVING FUND LOAN APPLICATION FORM 1
13. HAVE YOU PREVIOUSLY RUN A BUSINESS OF YOUR OWN? .............................................. IF YES (a) WHAT TYPE OF BUSINESS? ................................................................................... (b)
DOES THE BUSINESS STILL EXIST? ……………………………… (c) IF NOT, WHY DID IT STOP OPERATING? ………………………………………………………………………………………………………….…………………….
14. HAVE YOU PREVIOUSLY APPLIED FOR A LOAN(S) FROM YOUTH ENTERPRISE FUND? ………………………………… IF YES (a) FOR WHAT TYPE OF BUSINESS …………………………………………….……
……………………………….……………………………………….……………….…………………………………………………………………. (b) YEAR ……………………………… (c) AMOUNT …………………………………….……..…………
15. HOW MUCH ARE YOU NOW APPLYING FOR? ………………………………………………………………………………………………………….
16. HAVE YOU PREVIOUSLY APPPLIED FOR A LOAN FROM A FORMAL FINANCIAL INSTITUTION? ………………………………………………………………………………………………….……………………………..……….
17. IF YES, WAS IT GRANTED? ……………………………………… IF IT WAS GRANTED, WERE YOU ABLE TO PAY IT BACK? ……………………………………………………………………………………………………….………..
18. IF NOT, WHY WAS IT NOT GRANTED? …………………………………………………………………………………………………………………………………………………………………………………………………………………….…………
19. DO YOU HAVE AN OUTSTANDING LOAN WITH YERF? …………………… IF YES (a) ARE YOU STILL PAYING? ……………………………………………….. (b) AMOUNT OWING E……………………….……………
20. WHAT TYPE OF BUSINESS DO YOU INTEND TO RUN FROM THIS LOAN YOU ARE APPLYING FOR? ……………………………………………………………………………………………………………………….…..………..
21. HAVE YOU RUN THIS TYPE OF BUSINESS BEFORE? .................................................................................................................................
22. WHAT IS YOUR HIGHEST EDUCATION LEVEL? ……………………………………………………………………………………………………………………………..…….
23. DO YOU HAVE A FORMAL TRAINING ON HOW TO MANAGE A BUSINESS? ……………………………………………IF YES, PLEASE STATE THE NAME OF THE ORGANIZATION THAT PROVIDED THE
TRAINING? ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..…………..
24. HOW MUCH HAVE YOU OR ARE YOU INTENDING TO INVEST IN THE BUSINESS? ……………………………………………………………………………………………………………………………………….……………………
25. HOW DO YOU PLAN TO RAISE THIS AMOUNT IF NOT ALREADY AVAILABLE IN CASH? …………………………………………………………………………………………………………………………………..…….……………
26. IN THE EVENT THE BUSINESS FAILS, HOW DO YOU INTEND TO REPAY THE LOAN REQUESTED?
………………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………….…………………
27. CERTIFICATE
I/WE ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
hereby apply for a loan of E …………………………………………………………………… repayable over ……………………………………………………. months/years. I/We certify that to the best of my /our
knowledge and belief the particulars and amounts set out in this application and its attachments are true and fair, that the assets are all my/our absolute property that all charges over
the assets listed have been declared and that there is no lien, lawsuit or claim extant or pending against me / us in respect of any debts due or claimed to be due. I /we further
authorize the Fund/ Bank to make such enquiries regarding me /us and my/our affairs as it may in its sole discretion deem fit and I/we expressly agree that no claim or suit for damage
for breach of confidence arising thereout shall lie against the Fund /bank or any of its officers.
28. IN CASE OF A COMPANY / COOPERATIVE THE 3 DIRECTORS WHO ARE SIGNATORIES ARE AS FOLLOWS:
DIRECTOR 1: NAME……………………………………………………………………………….…DESIGNATION………………………………………………………SIGNATURE…………………………………………..………………
DIRECTOR 2: NAME…………………………………………………………………………………DESIGNATION………………………………………………………SIGNATURE………………………………………………..………….
DIRECTOR 3: NAME…………………………………………………………………………………DESIGNATION………………………………………………………SIGNATURE……………………………………………………..…….
YOUTH ENTERPRISE REVOLVING FUND LOAN APPLICATION FORM 2
28. DECLARATION BY APPLICANT
I understand that completion of this loan application and affordability assessment does not impose a responsibility on Youth Enterprise Revolving Fund (YERF) to grant me/us credit. I/We
understand that I/we have to fully and truthfully answer any requests for information made by YERF as part of the assessment. I/We further understand that misrepresentation of facts will be
dealt with in terms of the law and may also lead to rejection of the application. I/We confirm that the follow ing are my/our close relatives who may be contacted by YERF regarding
myself/ourselves and my/our credit profile, and their responses can be relied upon in making a decision whether to grant or d ecline the loan request. Such contact maybe telephonically, in
written, emails etc. I/We further authorize YERF to send single of bulk short message services (SMSs) to myself/ourselves and or close relatives about the loan and or other related financial
services that YERF has and or may have.
Please circle the language your wish to use; ENGLISH / SISWATI
Name Relationship Employer Cell phone Number
1.
2.
3.
I/We, the loan applicant/s hereby authorizes:
1. Youth Enterprise Revolving Fund to request and to receive, in confidentiality, all information from banks and other relevant institutions relating to loans, overdrafts extended to
me/us and repayment profile thereof.
2. Banks and financial institutions with which I/We have or have had dealings, to provide all information relating to loans and overdrafts extended to me/us. Such sought
information shall be treated by YERF as very confidential.
Signed by me/us this ……………………………Day of …………………………………………………………………………. 20 …………..… In the presence of
……………………………………………………………………………………..……………………………………………………………………………….……. (Witness’s Full Names)
………………………………………………………………………………………………………………………………… (Postal Address)
………………………………………………………………………………………………………………………………… (Occupation of witness)
………………………………………………………………………………………………………………………………… (Signature of witness) ……………………………………………………………………..
SIGNATURE OF APPLICANT
………………………………………………………………………………..
COMPANY / COOPERATIVE STAMP
YOUTH ENTERPRISE REVOLVING FUND LOAN APPLICATION FORM 3
29. RECOMMENDATION AT UMPHAKATSI/ZONE LEVEL
I ………………………………………………………………………………………………………….. hereby acknowledge that the applicant………………………………………………………………………………………………… is known
to this Umphakatsi /Zone and is a resident under this constituency. Based on the applicant’s known conduct approval of the loan application is recommended/not recommended. (please
circle one)
Name & Surname: ……………………………………………………………………………………… Designation…………………………………………………………………………………………… Date: …………….………………………
……………………………………………………………………………
UMPHAKATSI/ZONE OFFICIAL STAMP
31. RECOMMENDATION AT INKHUNDLA LEVEL
I ………………………………………………………………………………………………………….. hereby acknowledge that the Umphakatsi/Zone………………………………………………………………………………………….……… .
is known to this Inkhundla and falls under this constituency. I further confirm that the stamp and signature of the Umphakatsi/Zone are authentic and known to this Inkhundla.
Name & Surname: ……………………………………………………………………………………… Designation………………………………………………………………………………… Date: ………………….……………………………
………………………………………………………………………………
INKHUNDLA OFFICIAL STAMP
APPLICATION GUIDE
Age Limit - 18-35 Years
LENDING LIMITS
Individual - up to E50,000.00
Company - up to E100,000.00
Cooperative - up to E150,000.00
LOAN REPAYMENT PERIOD
Seasonal term - 12 Months
Short term - 24 Months
Medium term - 36 Months
CHECK LIST (Please tick on attached Documents and cross X on non-attached Documents
1. Certified Copies of ID (Compulsory)
2. Certified Copy of Certificate of Incorporation
3. Certified Copy of Form J
4. Certified Copy of Memorandum & Articles of Association
5. Land right (Chief’s Letter, Title deed, Lease agreement)
6. Business Plan/ Proposal Document
7. Market Contracts/ Letters of Intent
8. Trading licence (current tax year)
9. 3 Quotations of each input or service
10. Proof of availability of technical expertise (CV)
YOUTH ENTERPRISE REVOLVING FUND LOAN APPLICATION FORM 4
