NCIC-PBL GREEN SME FINANCING – APPLICATION - Nigeria Climate Innovation Centre

Nigeria Climate Innovation Centre

NCIC-ProvidusBank GREEN SME FINANCING - APPLICATION FORM

CALL FOR ENTRY – NCIC – ProvidusBank GREEN SME FINANCING

Name of Business *

RC/BN Number *

Date of Incorporation *

Business Address *

Office Phone No. *

Office Email *

Company Website

Staff Strength *

Nature of Business *

Others, please state.

Brief Description of your business in a maximum of 150 words.* *

Annual Turnover *

Requested Amount *

Are you currently servicing a loan? *

If yes, write amount with currency. If no, write 0. *

Loan Collateral *

Name of Principal Borrower *

First

Last

Gender *

Date of Birth *

Mobile Number *

Email *

Residential Address *

Undertaking: By clicking the “submit” button, I do undertake that all the information provided in this application are true to the best of my knowledge and the credit desk reserves the right to decline my application in the event of inconsistent or false information provided herein. *

I understand and agree