Loan Request Form
To capture your details for pre-approval review. Register as a business seller first on AtaraPay https://app.atarapay.com/#/register/seller, then return to fill this form
Sign in to Google to save your progress. Learn more
Registered Business Name *
Registered Company Number *
Business Industry *
Contact First Name *
Link to a valid National ID Card (Voter's Card, Passport data page, Drivers License, National Identity Card) *
Link to any active social media platform such as Instagram, LinkedIn, Facebook *
AtaraPay Phone Number *
AtaraPay Email Address *
Terms of Loan
1. You must be a legally registered business
2. You must be pre-approved before offered a loan
3. There must be an existing transaction in escrow between you and the buyer
4. The transaction must complete and payout made to you, before another loan can be offered to you
5. We offer up to 80% of the product sum as loan
6. We charge only 1.5% of the loan amount offered
7. We shall carryout a credit check to enable us pre-approve you
Do you agree to the terms above? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms