Business Loan Application – Microhub Financial Services

Loan Application Form

Name of Applicant *

First

Last

Name of Spouse *

First

Last

Gender of Applicant

ID Number of Applicant *

ID Number of Spouse *

Date of Birth

Business Name

Business Type

Period in Business

Previous Business Activities

Type of Loan

Purpose of Loan

Requested loan amount (USD) *

Loan Term *

Loan Frequency *

Home Address (including street number, closest cross street, surburb and identifiable landmark)

Home Telephone Number

Mobile Number

Alternative Contact Number (work, spouse or neighbour etc.)

Business Address (including street number, closest cross street, surburb and identifiable landmark) (copy)

Email *

Three (3) Supplier and credit references (List name of business, contact person and phone numbers)

Preferred loan disbursement method

Account Number of Registered Phone Number

How did you know of Microhub Financial Services?

If referred, name of person who referred you

Declaration: *

I declare that the above information is true and correct

Small beginning, giant impact

The Value of
The Customer

"To us, customer centricity is not just a corporate value we have stuck on our wall, but it is a culture we have inculcated in all our staff upon realisation that our clients are at the centre of everything we do."

Tamirira Rusheche

Managing Director,
Microhub Financial Services

Loan Application Form

Small beginning, giant impact

The Value ofThe Customer

Contact Us

The Value of
The Customer