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IPED Preliminary Online Loan Application Form
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First Name:
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Your answer
Surname:
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Your answer
Gender:
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Male
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Date of Birth Details
Please fill out your date of birth information below.
Month:
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January
Option 13
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Day:
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Year:
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2020
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1900
Address & Contact Details
Please fill out your address and contact information below.
Lot Number:
Your answer
Street Name:
Your answer
Village Name:
*
Your answer
District:
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County:
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Essequibo
Demerara
Berbice
Region:
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Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Region 8
Region 9
Region 10
Mobile Number:
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Your answer
Home Number:
Your answer
Business Number:
Your answer
Email Address
Your answer
Loan Details
Please fill out the loan information below.
Loan Amount:
*
Your answer
Period of Loan (Number of Months):
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1
2
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Type of Business:
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Choose
Aquaculture
Agroprocessing
Bee Keeping
Beef
Bricks and Block Making
Cash Crops
Craft
Creative Industries
Crops
Dairy
Distribution - Food and Household
Distribution - Hardware and Electrical
Distribution - Pharmaceutical and Chemical
Distribution - Clothing
Education
Education Services
Entertainment
Fish Dehydration
Fish/Meat Processing
Fishing
Food Processing
Furniture
Garments
Health
Hospitality Food Beverage
Housing
Jewellery
Life Time
Logging and Lumber
Market Vending
Mining
Miscellaneous
Other Crops
Other Manufacturing
Other Services
Peanuts
Personal Care Services
Pigs
Poultry Broilers
Poultry Ducks
Poultry Layers
Rental of Dwelling
Rice
Seasonal
Sheep and Goat
Sugar Cane
Tourism
Transportation
Transportation - Commuter
Transportation - Freight
Variety and Haberdashery
Workshop
Other
If OTHER was chosen above, please describe the business below:
Your answer
How do you intend to spend the loan fund?
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Questions and Comments:
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