Self Employed Business Loan Application

Personal Info

Loan Amount --------- R10,000 - R100,000 R101,000 -R250,000 R251,000 - R500,000 R500,000 - R1,5 Million R1,5 Million + ID Number First Name Last Name Email Cellphone

Business Info

What type of business do you have? --------- Sole Trader Private Company Closed Corporation Public Company Position in Business --------- Director and Major Shareholder Director Major Shareholder Owner None of the above Business Name Trading As Industry --------- Accommodation (Hotels, BnB, Lodges) Advertising Agency and/or Print Agri, Forestry, Fisheries Beauty Salons, Barbers, Tanning Salons, Spas Business Support Services Car dealers, Garages, Mechanics Care Homes and Facilities Cleaning, Landscaping, Gardening Construction (Builders, Civil Engineer, Electrician) Education and Training Energy / Renewables Event Planning and Coordination Finance; Insurance Agent / Broker / Solicitor Food Service (Catering) Funeral Homes Hardware Health and Medical (Doctors, Dentists, Optometrists) Interior Design and/or Decorating IT and Communications Maintenance Services (Painting, Home Repair) Manufacturing - General Manufacturing - Clothing / Apparel Manufacturing - Consumer Goods Manufacturing - Electrical / Electronic Manufacturing - Equipment / Machinery Manufacturing - Food Production / Processing Mines and Mining support Other Professional Services (Accounting, Tax and Consulting) Property and Real Estate Publishing, Film and Media Production Recruitment Restaurant, Takeaway, Bar, Pub Retail - Equipment Sales and Rentals Retail - Food (Grocery, Convenience Store) Retail - General (Offline) Retail - General (Online) Security Transport and Logistics (Taxi, Courier, Freight, Storage) Travel Agent, Leisure, Sports and Recreation Wholesale / Distribution Annual Revenue (Yearly Turnover) --------- 0 - R 500k R 500k - R 1m R 1m - R 2m R 2m - R 5m R 5m - R 10m R 10m - R 20m R 20m + Time In Business --------- 0-1 years 1-2 years 2-5 years 5-10 years 10+ years Business Telephone

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