A) Aplicant Information
Mr.
Mrs.
Miss.
Ms.
Dr.
First Name And Initials
Surname
Permanent Address
Phone (Mobile)
Date Of Birth
Email
ID Number
ID Type
Location Issued
B) Know Your Client Information:
This is for individuals making applications on behalf of their company
Name Of Business
Company Registration No.
Date Of Incorporation
Main Line Of Business
Business Phone Number
Email Address
Registered Address
Company Directors
C) Purpose for Application
Business Plan
Company Registration
Financial Statement Analysis And Advice
Business Development And Training
Non-Resident Investor Services
Funding
Marketing Research
Other, Please State
E) How Did You Hear About CPI
CPI
website
Newspaper
Radio
T.V.
Poster/handbill
D) Banking information
Bank
Branch
Do you have A Collateral?
Yes
No
Vaule?
Less than 100, 0000 Gh cedis
100,000 to 250, 000 Gh cedis
250, 000 to 500,000 Gh cedis
More than 500, 000 Gh cedis
