Short Borrower Enquiry Form

Borrowers Application

Please complete the form below to apply for funding.

 Last name*
 Email address*
 Contact number*
 Company name*
 Company registration number
 Operational history*
 Turnover > R1m?*
 51% black-owned?*
 Funding amount required (R)*
 Briefly explain how the funding will be used*
 Upload AFS and Management Accounts*
 File(s) size limit is 20MB.
 
 If other, please specify
I consent to Inyosi processing my information.*