Alpha Kapital MicroFinance Bank | Agricultural Farmers’ Loan Scheme

Loan Application Form

Note:

Membership Application Fee: =N=3,000.00 Will Cover The Following:< /br>

Account Opening
Member Registration With Alpha Kapital Mfb Ltd
Alpha Kapital MFB LTD Identification Card
Loan charges:
Interest Rate:..... % Monthly.
Insurance Cover Of 3% For Live Stock (One Off)
While 3% for Non-Live Stock. (One Off)

Name of Cooperative:(required)

Cooperative Member Name:(required)

Customer Details

Title(required)

First Name(required)

Middle Name

Last Name(required)

Gender(required)

Male

Female

Marital Status(required)

Single

Married

Others

Please Specify(required)

Date of Birth(required)

State of Origin(required)

Local Govt. Area(required)

Residential Address(required)

City(required)

State(required)

Country(required)

Mobile Number(required)

Identification

Means of Identification(required)

International Passport

Driver's License

National ID

Voter's Card

Others

Please Specify(required)

Identification Number(required)

Date Issued(required)

Farm Location

Farm Address(required)

City(required)

State(required)

Country(required)

Farm Details

Type of Farm(required)

Crops

Livestock

Mixed Farming

Number of Years in Farming(required)

Past Financial Benefit(required)

Yes

if yes please explain

Please Explain...(required)

details of past financial benefit(s)

What year did you join this cooperative?(required)

Area of Land Cultivated in Hectare(required)

Maturity of each Crop / Livestock(required)

please mention all that apply

Number of Crop / Livestock(required)

please mention all that apply

Loan Repayment(s) starts when?(required)

Amount of Loan you wish to apply for? =N=(required)

Tenure?(required)

loan tenure

Will you agree to pay for Anyone in your cooperative that fails to pay back?

Yes

If No, Please state reason(required)

Customer Passport Photo(required)

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Maximum size 2MB

Are you human?(required)