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Application Date
DD slash MM slash YYYY
Contact number*
Email
Registration number*
Date of business registration*
DD slash MM slash YYYY
Home address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Trading/business name*
Authorized Representative
Nature of Business:
Business Tax ID Number
Business Type*
- Sole proprietor
- Partnership
- Corporation
Business Status*
- Existing
- New
Number of years in operation
Loan amount requested*
Equity Injection (min. 10% required)*
Please State Purpose for which Loan is Requested:*

Documents to be provided with Application
Business Registration/ Certificate of Incorporation*
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Share Certificate*
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Articles of Association/By-Laws*
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Business License*
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Business Plan with 3 years financial projection*
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Business Financial Statements for the 2 previous years
(existing companies only)
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Evidence of Registration with the Inland Revenue Department*
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Valid Government-issued photo ID*
(passport, driver’s licence, electoral, social security, MBS cards)
Accepted file types: pdf, jpg, Max. file size: 256 MB.
3 Letters of Reference (1 character, 2 financial)*
Drop files here or

Accepted file types: pdf, jpg, Max. file size: 256 MB.
Job letter and two (2) most recent pay slips*
Drop files here or

Accepted file types: pdf, jpg, Max. file size: 256 MB.
Proof of Address*
(utility bills not older than 3 months, driver’s licence )
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Board Resolution to obtain loan*
Accepted file types: pdf, jpg, Max. file size: 256 MB.
Certificate of Good Standing
(existing companies only)
Accepted file types: pdf, jpg, Max. file size: 256 MB.

Additional information
Are you or your spouse involved in any lawsuits or claims?*
- Yes
- No
Please explain in detail
Have you or your spouse ever had a judgement filed against you?
- Yes
- No
Please explain in detail
Have you or your spouse served as a co-signer, guarantor or endorser for any financial obligation?
- Yes
- No
Please explain in detail
By signing below, you are certifying that the information provided in this application is accurate and complete and that you agree to the terms and conditions set out in this application. Terms and Conditions - by signing this application you,
- Authorize us to obtain further information about banking/credit relationships that you have or intend to establish.
- Authorize us to request, obtain and disclose information to credit grantors, any person or body who have financial relationships with you or as required under the Laws of Antigua and Barbuda.
- Authorize us to verify the information you have provided to us.
- Authorize any person or financial institution relating to this application to provide us with the relevant information.
- Will not withdraw any consent given to us as long as a business relationship exists with us including the use or disclosure of information and collections procedures.
- Agree that we reserve the right to either agree or decline to grant credit to you.
- Agree that we will assess the above information in addition to conducting due diligence to determine the eligibility of this application.
- Agree that should the loan be approved, each owner of the company is required to individually sign or personally guaranty this loan facility.
Fill in your name to sign this document
First Last
Email
This field is for validation purposes and should be left unchanged.

Step 1 of 4

Documents to be provided with Application

Details of Your Annual Personal Income and Expenses:

Additional information