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Application Form

Full Name

Gender

Date Of Birth

Marital Status

Home Address

Time At Current Address

Residential Status*

Contact Phone Number

Website

Permission To Search Directors*

Yes No

Type Of Business

Years Trading

Industry Type

Company Registration Number

Company Address

Total Revenue

Pre-Tax Profits

Does The Company Have A Overdraft? If So, How Much?

Current Number Of Employees

Have You Been Refused Finance In The Last 6 Months*

If So, What Was The Reason?

Add Additional Directors Of 25% Shareholding

Full Name

Date Of Birth

Full Address (If different from above)

Percentage Of Shareholding

Please Provide a Brief Resume Of The Business And What The Funds Will Be Used For*

How Did COVID-19 Effect The Business?*