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Name

Company name

Contact number

What is the postcode of your trading address?

Have you been impacted by COVID19?

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Have you applied to a bank and been declined?

Yes No

Loan amount required

Business plan produced

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Nature of the business

Time the business has been trading: Years

Months

Is this a new business?

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What is your entity type?

Do you trade mainly B2B or B2C?

Where did you hear about us?

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