Morocco Earthquake Relief

ASHRAFUL AID CANADA

1

    PERSONAL DETAILS

    Full name

    Date of birth

    Gender

    Age

    Marital Status

    Residential Address

    Phone number

    Alternate contact number

    Email Address

    Nationality

    Number of dependants

    if there are no depensats, type 0

    Dependants ages

    ages must be separated with a comma or dash between each (if there are no depensats, type 0)

    Highest level of education obtained

    Drivers licence code (if applicable)


    BUSINESS DETAILS

    Business Name

    Business Address

    Business Phone number

    Business email Address

    Business registration number

    Brief Business Description

    Business partners/stakeholders ( If any)

    BUSINESS HISTORY

    Start date of business

    Initial start up capital

    Average monthly sales for the last 12 months

    Number of employees hired

    Total duration the business has been in operation


    BUSINESS INFORMATION

    Describe briefly your current business operations

    Details of products / services offered by the business

    What is the target market for your products and/or services

    What is your competitive advantage in the market

    Include a brief description of your skills and experience as an entrepreneur

    BUSINESS PLAN

    How do you plan to use the loan to grow your business

    What equipment / machinery / stock is required to grow the business

    What other support / subsidiary services are required to grow the business

    Amount required to grow the business

    FAMILY REFERENCE (Include details of one close family member who can provide a reference – spouse, parent, sibling, aunt/uncle etc)

    Full name

    Relationship

    Phone number

    Email address

    Residential Address

    Nationality

    SPIRITUAL / RELIGIOUS LEADER REFERENCE (Include details of your local imam, pastor, spiritual leader etc)

    Full name

    Phone number

    Email address

    Residential Address

    Nationality

    AGREEMENT

    Signature

    Date

    Upload any supporting documents that you may have(Please try and upload PDFs instead of JPGS)

    Kindly note incomplete applications will not be considered

    Thank you for applying for a microfinance loan with us.