BUSINESS LOAN APPLICATION FORM (WORKING CAPITAL)
1. COMPANY DETAILS
Type Private Public Partnership Group
Registration certificate number: Date of incorporation
Nature of Business:
Date of Business commencement VAT Certificate number
Source of Reference( how did you hear about
DFS) TV, Social Media, E.T.C
Postal Address:
Current Physical Address:
CONTACT (KEY PERSON):
Name Contact Details Email/ website
Institution Name: Postal Address
Phone Number:
Village T/A District
Physical Address Number of months at current Physical
Address:
Number of months at previous Physical
Previous Physical Address Address:
3. OWNERSHIP AND MANAGEMENT
Name Contact Date of Birth Nationality ID Number Position Share/holding%
4. BUSINESS ASSESSMENT
Description of Business Activity/
Product_____________________________________________________________________
Number of years in Operation_______ How long at current Location_____________________
If Less than 2 years, where was the business located and why did you relocate?
___________________________________________________________________________
No of employees: Permanent Temporary
____________________________________________________________________________
Who are your customers? _______________________________________________________
Who are your suppliers ________________________________________________________
5.BANK DETAILS
Do you have an account with DREAM Financial Services LTD? Yes No
If yes please indicate:
Branch Name ________________________ Account Name___________________________
Account Number______________________ Date Opened_____________________________
5.1. ACCOUNTS IN OTHER BANKS / FINANCIAL INSTITUTION(S)
Do you have accounts in other banks / financial institution ns? Yes No
If yes, please indicate account number
Bank Account Number Branch Status( DR/CR)
Attach bank statements
5.2. LOANS IN OTHER BANKS / FINANCIAL INSTITUTION(S) Yes No
If yes, please indicate
Bank/Financial Institution Loan Amount Loan Period Loan Instalment
6. LOAN PARTICULARS
Amount Applied for MWK Purpose of Asset_____________________________
Cost of Asset (MK)______________ Own Contribution (MK)___________________________
Repayment Period ______________ Affordable Monthly Installment (MK)_______________
7. SECURITY/ COLLATERAL
7.1. ASSETS (VEHICLE& MACHINERY) PLEDGED
Vehicle Reg. Make Model Loan Balance if Financed BY
/Serial Number any
Attach Blue Book
7.2. ASSETS (PROPERTIES) PLEDGED
Title Number Location Developed/undeveloped Estimated Financed By
Value
8. REFEREES
Name Address Telephone Relationship
10. Applicants’ Signature s
1. Name ______________________Signature _________________Date___________
2. Name______________________ Signature _________________Date___________
3. Name ______________________Signature _________________ Date__________
11. RECOMMENDATION
Loan Amount_____________________ Loan Period___________________________
Payment Frequency________________________________
Account Relationship
Officer_________________________Signature_____________________Date_____________
Supervisors
Name______________________________Signature_________________________________
Comments
_______________________________________________________________________
10. ATTACHMENTS
No.: Supporting documents
A Sole Proprietor
1 Loan application form
2 Financial Statements
3 Bank Statements
4 Cash flow statement for the previous year
5 Projected cash flow statement
6 Business Records
7 Security document
8 Business registration certificate (Photocopy)
B COMPANY: AS IN ‘A’ ABOVE PLUS THE FOLLOWING
Certificate of incorporation (Photocopy)
Memorandum and Articles of Association (Photocopy)
Board resolution to borrow (for limited companies)
Map
Security Documents (Photocopy)
C PARTNERSHIP; AS IN ‘A’ ABOVE PLUS THE FOLLOWING
Share structure
Partnership Agreement
Registration certificate.
Resolution
Personal guarantee of all partners.
Authorized signatory for all documentation
