Application for Tender or Purchase Order Loan

First Name*

Job Title*

Telephone Number

Your Email Address*

Tender/Purchase Order Details

Order Amount*

Supplier Quote Amount*

Number of days your client pays after delivery*

Number of days your supplier/s will take to have goods ready for delivery after you pay them?*

Company Details

Company Name*

Registration Number

Vat/Tax* Number

Industry Sector*

Attach Company CK Document*

Attach Certied ID Copy*

Attach 3 Months Bank Statement*

Attach Purchase Order*

NB: All fields marked * are required before you can proceed.

I consent to the Terms of Use.

Surname*

ID Number*

Cellphone Number*