LOAN APPLICATION FORM FOR THE YEP MINI LOAN SCHEMEFirst Name Last Name Gender MaleFemaleDate of Birth Age Marital Status SingleMarriedAddress Email Address Tel No Region BanjulKMCWCRLRRURRNBRCRRDo you own where you live Next of Kin InformationName of Next of Kin Address Contact State Relationship Personal Banking InformationBanking With Lenght of Relationship with Bank Tin No. Current Balance in GMD The current balance should be in DalasisAccount No. Lenght of Banking Relationship Business InformationName of the Business Type of Business Location Of the Business Tel No. When was the Business started Business Tin No. Business Registration No. which Entrepreneurship\Business Management course\skills course\program did you complete Which Institution\Organisation \Trainer provided the course\program Loan RequestLoan amount requested The currency of the loan should be GMD (Gambian Dalasis)Type of loan facility (working capital loan or equipment/premises acquisition loan Purpose for which facility is required Intended repayment period in months Source of repayment How do you intend to repay? (monthly, quarterly etc.) Security proposed Estimated value of security proposed: GMD Are you currently enjoying any credit or lease facility (tick the one appropriate)? YesNoIf yes, give details Personal Financial Information of ApplicantSectionEarnings Other Income (Please Specify) Total Income (A) Monthly ExpensesHousehold Commitment Other Financial Commitments Other monthly expenditure Taxes and other deductions Total Expenses (B) Net Income (A-B) Balance SheetAssetsCash in Hand & Bank Security own (Value) Receivables (Value) Real Estate Owned (Value) Automobiles (Value) Other (Specify) Total LiabilitiesLoans (Specify) Others (Specify) Total Networth (A-L) Declaration and acceptance I hereby certify that all the particulars given by me are true and complete. I understand that I will be notified by letter if my application is successful or otherwise. Please remember to enclose 1. Copy of ID Card or Passport 2. Copy of Business Registration Certificate 3. Copy of Course completion Certificate 4. Copy of TIN Certificate 5. Copy of Bank statementSignature png|jpe?g|gifDate Witness Name Signature png|jpe?g|gifID or Passport No. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: