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UHAF Cohort 2 Application Form
Cohort 2 Application Form
UMARU & HILDA ABU FOUNDATION (UHAF) APPLICATION FORM
"
*
" indicates required fields
Full Name (as it appears on your NIN):
*
Birthday
*
MM slash DD slash YYYY
Gender
*
Male
Female
Phone Number
*
WhatsApp Number (If different from phone number):
Email Address (If Available):
Residential Address:
*
Local Government Area / State of Residence:
*
State of Origin / Local Government Area:
*
NIN:
*
Valid ID:
Max. file size: 30 MB.
SECTION 2: EDUCATION & SKILLS
What is your level of education?
*
No formal education
Primary
Secondary
Vocational
Tertiary
Others
Technical/Vocational Skills Relevant to the Business:
Have you received any business, entrepreneurship, or financial management training?
*
Yes
No
If yes, please specify:
SECTION 3: BUSINESS INFORMATION
What is the name of your Business?
Is your business registered?
How long has your business been in operation?
What business sector do you operate in?
Do you keep business records? (Sales, expenses, inventory)
Yes
No
Do you have a business bank account?
(Not necessarily a corporate account)
Yes
No
Describe the Business Account
(Personal or Corporate Account)
Do you know your Average monthly sales?
Yes
No
If yes, what is your Average monthly sales?
How will this funding improve your business within six months?
SECTION 4: FUNDING REQUEST
How Much Funding Are You Requesting (₦)?
*
Note: Not more than a million naira
What Will the Money Be Used For?
Provide a Brief Breakdown of Costs (Specifically state the items, quantity and cost):
What results do you expect after receiving this support?
SECTION 5: REPAYMENT & RESPONSIBILITY
Do You Understand This Support Is a No-Interest Loan (Not a Grant)?
*
Yes
No
How Do You Plan to Repay the Loan? (Providea detailed payment Plan)
*
Are You Willing to Participate in Mentorship Sessions?
*
Yes
No
If yes, by agreeing to participate, you confirm that you are willing to comply with the following requirements:
*
Attend all UHAF trainings
Actively participate in mentorship sessions
Submit monthly business reports
Participate in monitoring visits
Share business performance information with UHAF
Allow UHAF to monitor your business activities
Allow UHAF to capture and use photos, videos, and other media content of me taken during the mentorship process and after I become a beneficiary for publicity, promotional, and social media purposes
Confirmation
*
I confirm that I agree to comply with all the above requirements
SECTION 6: NEED & CIRCUMSTANCE
Do you identify as living with a disability?
*
Yes
No
SECTION 7: NEXT OF KIN (Must be independently verifiable)
Full Name of Next of Kin:
*
Relationship to Applicant, e.g. Spouse, Parent, Sibling:
*
Phone Number of Next of Kin:
*
Residential Address of Next of Kin (if different from applicant):
*
(Full address with landmark)
⚠ Note: The next of kin will be contacted independently to verify awareness of this application. Providing false next of kin information is grounds for immediate disqualification.
SECTION 8: GUARANTOR INFORMATION
Full Name:
*
Occupation:
*
Employer:
*
Position:
*
Phone Number:
*
Email:
*
Residential Address:
*
Relationship to Applicant:
*
Years Known:
*
Social Media
*
Have you followed us on Social Media?
Declaration by Applicant
*
I confirm that my guarantor is aware that I have provided their information
SECTION 9: CONSENT & DECLARATION
I certify that all information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any false declaration, forged document, or misleading information may result in disqualification from the programme or withdrawal of any support granted.
I understand that successful Stage One applicants will be required to submit their BVN to UHAF's financial partner for credit verification before final selection.
I consent to UHAF verifying any information provided in this application, including Next of Kin, guarantors, and financial information where applicable
I understand that the UHAF Enterprise Support Programme is a no-interest loan programme and that successful applicants will be required to sign a repayment agreement and comply with programme monitoring, mentorship, and reporting requirements.
I acknowledge that the submission of this application does not guarantee selection or funding and that UHAF reserves the right to accept, reject, suspend, or discontinue any application or beneficiary in accordance with its programme policies and eligibility requirements.
I consent to UHAF capturing, storing, and using photographs, videos, and other media content of me and/or my business taken during the mentorship process and throughout my engagement as a beneficiary for the purposes of publicity, promotion, and social media engagement.
I hereby declare that all information and supporting documents submitted as part of this application are true, complete, accurate, and authentic to the best of my knowledge and belief.
Agreement
*
I have read, understood, and agree to the terms of this declaration. By ticking this box, I confirm that this declaration is true and legally binding.
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