Short Borrower Enquiry Form Borrowers Application Please complete the form below to apply for funding. First name* Last name* Email address* Contact number* Company name* Company registration number Operational history* -None- Up to 1 year 2 years Between 3-10 years More than 10 years Turnover > R1m?* -None- Yes No 51% black-owned?* -None- Yes No Funding amount required (R)* Briefly explain how the funding will be used* Upload AFS and Management Accounts* File(s) size limit is 20MB. How did you hear about Inyosi?* -None- Google Facebook Instagram LinkedIn Article Radio Other Word of mouth Other If other, please specify I consent to Inyosi processing my information.* I consent to Inyosi processing my information. *