Telephone Numbers:
Address:
Enter Address
Area of Business:
RC Number:
Company Representative:
Representatives Phone No.
Asset Request
Asset Required
Purpose for which Asset(s) is/are Required
Source of repayment
Lease Request Tenor:
Three (3) Months Six (6) Months Nine (9) Months Twelve (12) Months Eighteen (18) Months More than 18 Months
