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

No

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

No

If No, Please state reason(required)

Customer Passport Photo(required)

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Maximum size 2MB

Are you human?(required)

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Guarantor’s Form

Guarantor's Form

I, Mr. / Mrs. / Miss. / Chief / Alh. / Rev. (required)

Of (required)

Hereby state that I know and can vouch for (required)

who wishes to take a loan of =N=(required)

from ALPHA KAPITAL MICROFINANCE BAKN LTD.

I hereby stand as a guarantor for him/her for the loan if granted and state also that should he/she fail to fully repay the loan at its maturity, ALPHA KAPITAL MICROFINANCE BANK LTD shall recover all outstanding amounts plus interests/charges from me. Also if after one week the outstanding amounts plus interests have not been paid my me, I hereby consent that any items found in my posession should be taken by ALPHA KAPITAL MICROFINANCE BANK LTD or its assignees.

The bank should go ahead and sell the collected items in order to liquidate her account attached are a photocopy of my identity card and photo passport.

Occupation:(required)

Phone No.:(required)

Email address(required)

Relationship with Borrower:(required)

Signature / Thumbprint:......................................................

Attachments:

Identity Card (scanned)(required)

identity

Maximum size 2MB

Passport Photo (scanned)(required)

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Please print this form after filling, sign and email it to info@alphamfb.com

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Consent Letter

I, / We ...(required)

Of (required)

who have applied for the sum of... =N=(required)

who wishes to take a loan of =N=(required)

hereby consent thet any items found in my / our possession should be taken by ALPHA KAPITAL MICRO-FINANCE BANK LTD or its assignees. Where I / We fail to pay up My / Our loan with them and credit my / our account with any balance(s) if any.

I / We consent in this knowing the full implications and certify that the above statement has been read and interpreted to me / us in ................................................... language by ........................................................., and I / We appear to clearly understand the same and affix His / Her / Their mark to it in my presence

Dated this ...................................................... Day of ................................................ 20....................

Signature: .........................................................................................

Name:.............................................................................

Address: ...........................................................................................

Phone: ............................................................................................

Date:...........................................................................................................

Please print this form after filling, sign and email it to info@alphamfb.com

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Agricultural Farmers’ Loan Scheme

Note:

Guarantor’s Form

Consent Letter

Loan Application

REQUIREMENT FOR S.M.E LOAN

Micro Credit

New Member Registration (Microcredit)

The following(s) is(are) the requirements for Member Registration

Account Opening

New Account Opening