LEASE APPLICATION FORM-SOLE TRADER

Branch	Blantyre Capital City Chichiri Shopping Mall Chitipa Ginnery Corner Dwangwa Dedza Haile Selasse Kanengo Karonga Kasungu Lilongwe Limbe Liwonde Mangochi Mchinji Mulanje Mzimba Mzuzu Nchalo Nkhatabay Rumphi Zomba
		Section 1(Business Details)
Surname		Title	Mr Mrs Miss Dr Rev Hon Prof
First names		Trading as
Other names
Name of business		Postal address
Registered business premises
	Telephone number	Fax number	E-mail address
Principal bankers		Branch
Amount of overdraft facility		Security

	Section 2 (Details of Asset to be financed)
Goods to be leased
Engine number/Serial number
Chasis nmber /Serial number
Registration number
Year of make	1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050
Model number
Address where goods will be kept
Insurance Company/Broker used
	Section 3 (Details of Management Team)

Name	Position	Qualification	Years in the Company

Give particulars of any other financial commitments, e.g. Hire Purchases, Bank Loans, Leases, Overdraft facilities et cetera

Amount borrowed	Amount still outstanding	Lending Institution	Details Of Security	Purpose

Section 4 (Loan Details)

Amount required	K:
Cash deposit available from own resources:	K
Net amount of loan required	K
Repayment period preferred (in years)
Purpose for which loan is required (purchase of assets, working capital, et cetera)

	Section 5 (Additional information)
Details of any current investments with NBS Bank Limited:

Type of Investment	Amount	Account Number
a) Fixed deposit Investment	K
b) Fixed deposit Investment	K
c) Fixed deposit Investment	K

If the loan is to be supported by a guarantee, the guarantor should indicate his/her willingness to act by giving the following details:

Full names
Residential address
Postal address
Telephone number