Loan Business Owners Registration Page

1

First Name * Surname * ID Number * Cell Number / WhatsApp * Email Address * Province * City / Town *

2

Do you have a registered company? *

Yes No

Do you currently own a business?

Yes No

Business Name Company Registration Number Current Industry / Sector

Do you have lending experience?

Yes No

If Yes, How Many Years?

3

Which area / geographic market do you want to target? *

4

Estimated Capital Available * When Would You Like to Start? * How Did You Hear About Boost Africa? Any Other Information?

5

I confirm that the information provided above is true and correct. I consent to Boost Africa contacting me regarding the loan business programme.

Your information is handled securely and only used for this programme enquiry.

Registration Form