Page 1 of 1
Inventory/Supply Financing Application
This facility supports businesses requiring short-term financing to purchase inventory or fulfill supplier orders
Section 1- Applicant Details
Individual Information
Full Name
*
Phone Number
*
Email Address
*
National ID Number
*
Business Information
Business Name
*
Business Location
*
Business Industry
*
Years in Operation
*
Years in Operation
A
Less than 1 year
B
1 to 3 years
C
3-5 years
D
More than 5 years
Section 2-Supplier Information
Supplier Name
*
Supplier Phone Number
*
Supplier Location
*
Type of Goods Purchased
*
Average Order Value (Kshs)
*
Do you have an invoice or quotation from the supplier?
*
Do you have an invoice or quotation from the supplier?
A
Yes
B
No
Upload Invoice/Quotation
*
Click to choose a file or drag here
Size limit: 10 MB
Section 3- Financing Request
Amount Requested
*
Amount Requested
A
Kshs 50,000
B
Kshs 75,000
C
Kshs 100,000
D
Kshs 150,000
E
Kshs 200,000
F
Kshs 250,000
G
Kshs 300,000
How quickly do you expect to sell the inventory?
*
How quickly do you expect to sell the inventory?
A
Within 2 weeks
B
Within 30 Days
C
Within 60 Days
Section 4- Repayment Plan
Preferred Payment Period
*
Preferred Payment Period
A
14 Days
B
30 Days
C
45 Days
D
60 Days
How will the Loan be repaid?
*
How will the Loan be repaid?
A
Sales from inventory
B
Existing Business Outcome
C
Other
If other, please specify
Section 5-Documentation and Referrals
Upload your ID here
*
Click to choose a file or drag here
Size limit: 10 MB
Invoice/Order Form
*
Click to choose a file or drag here
Size limit: 10 MB
Guarantor Details
Full Name
*
Mobile Number
*
Email (optional)
* Please note that we reserve the right to contact said guarantor for verification and awareness.
Section 6- Declaration
I confirm that the information provided is accurate and understand that all applications are subject to internal review
*
I confirm that the information provided is accurate and understand that all applications are subject to internal review
Yes, Confirmed
Submit