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Preliminary Business Appraisal Form
LEAPWORLD GROUP PRELIMINARY BUSINESS APPRAISAL FORM
Name *
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Mobile Number *
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Email: *
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Website:
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Name Of Business Or Cooperative: E.G. One Business Ltd Or One Business Enterprises Or One Business Cooperative Society
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Type Of Business/Industry: E.G Manufacturing Or Fashion
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Type Of Service/Product Provided: E.G. Canned Beverages Or Clothing
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Address Of Company:
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Registration Address Of Business If Different From Above Location: Please State The Address Of Your Company As Listed On Your C.A.C. Certificate
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State(s) Of Operation:
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Contact Person In Business:
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Job Title Of Contact Person:
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Date Of Inquiry:
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What Type Of Funding Are You Looking For?
Amount Of Funding Requested For
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Please State What It Will Be Used For eg. Asset Purchase, Expansion, To Startup Etc...
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Are You Currently On Any Loan or Others? *
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Type Of Business Entity: E.G Limited Liability Company, Business Enterprise Or Cooperative
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Date Of Registration:
MM
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DD
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YYYY
Date Of Commencement Of Operations:
MM
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DD
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YYYY
Number Of Year(s)The Business Has Been In Existence:
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Staff Strength Of The Business:
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Turnover Of Business (Profit) In The Last 1 Year: The Total Value Of Sales E.G. N 10,000,000
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Projected Monthly Cash Inflows For The Next 12 Months:
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Are You Currently Servicing Any Loan Facility From Any Bank Or Finance House?
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If Your Answer To The Question Above Is Yes, How Much?
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What Kind Of Security Do You Have?
Other Comments: Please Include Any Other Comments Here.
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