Corporate Loan Application Form - Bostocke Close Investment

After you fill out this form, we will contact you within 24 hours.

Are you a new or existing customer?*

How much would you like to borrow?*

Tenor*

What is the purpose of the loan?*

Bank Name*

Bank Account Number*

Tax Identification Number (TIN)*

Business Registration Number*

Bank Verification Number (BVN) tied to operational bank account*

Full Name of the Founder / Managing Director*

First Last

Gender of Founder*

Business Name*

Business Description*

Business Location*

Street Address City State / Province / Region ZIP / Postal Code Country

Sector you currently operate in*

Industry you currently operate in*

Company age (in years)

Company age*

Annual revenue for the most recent year available*

Annual costs for the most recent year available*

Annual profits for the most recent year available*

Phone Number*

Email Address*

All corporate loans should have collateral & guarantors backing

Name

Phone Number

Address

Email Address

Bank Verification Number (BVN)

National Identification Number (NIN)

How did you find out about us?*

Questions and comments

Name

This field is for validation purposes and should be left unchanged.