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Northern Iraq Investments: COVID-19 SME Support Programme
Working Capital Finance Questionnaire
Eligibility assessment
Is your business owned and managed by an Iraqi?
*
Yes
No
Is your business registered/licensed?
*
Yes
No
Has your business been in operation for more than one year?
*
Yes
No
Has your business been affected by COVID-19?
*
Yes
No
Is your business FREE from any judgments or legal cases?
*
Yes
No
10 Points to be eligible
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Applicant details
Business name of applicant
*
Legal (company) name of applicant (if different from business name)
Name of applicant
*
First Name
Last Name
Phone number
*
Email
*
In which city is your business located?
*
Address of business
*
Number of years in business
*
Number of years of experience of main promoter in this industry
*
Highest qualification of main promoter and other key persons
*
Rows
Name
Highest qualification
Main promoter
Key person 1
Key person 2
Key person 3
Upload business registration document
*
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Date of incorporation/registration
*
-
Month
-
Day
Year
Date
Industry/Sector
*
Manufacturing
Agri-processing
Education
Healthcare
Energy/waste management
Other
What is the nature of your business?
*
Example: Bakery
Does your business require an operating license/permit to do business?
*
Yes
No
Upload business operating license/permit
*
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Shareholders
Number of shareholders/partners
*
Names of shareholders/partners
*
Rows
Name
Surname
ID/passport number
1
2
3
4
5
6
7
Upload ID/passport of all listed shareholders/partners
*
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Upload proof of address of all listed shareholders/partners
*
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Does the company have any subsidiaries/sister or holding companies?
*
Yes
No
Registration name of the entity
*
Registration number of the entity
*
Percentage of the company's shareholding
*
Upload shareholders/partnership agreement, memorandum of understanding, and commercial register if available
*
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Financials
What was the net profit after tax made by the company over the last three years (USD)?
*
Rows
2019
2020
2021
Net profit after tax (in USD)
Upload financial statements for year 2019
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Upload financial statements for year 2020
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Upload financial statements for year 2021
*
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At which bank/s does the business have bank accounts?
Rows
Name the bank below
1
2
3
Upload the bank statements for the last 6 months from each of the bank listed above:
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Does the business have loans from banks or other financiers?
*
Yes
No
List these loans and the amount in USD
Rows
List the loans
Loan amount (USD)
1
2
3
Total loan amount (USD)
Upload all your latest loans statements
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COVID-19 SME Support Programme
Loan Details
What is the size of the loan being applied for (in US dollar)? (Note that the lowest loan amount is USD 10 000 and the highest is USD 100 000)
*
What are the funds required for? (Note that the total amount should correspond to the loan amount required above)
*
Rows
Use (Purpose)
Amount (USD)
Beneficiary
1
2
3
4
5
Size of the loan (in US dollar) being applied for (auto calculated based on the above answers)
What is the term you need to repay the funds?
*
12 months
24 months
36 months
Do you have collateral to offer in the form of fixed property not encumbered by another financier?
*
Yes
No
Please describe the collateral:
*
Example: Residential house of 200 sqm on 350 sqm plot in XYZ neighbourhood in Erbil
What do you estimate the value of the collateral is (USD)?
*
Full name of the owner of the collateral
*
Please upload copy of the title deed/s for collateral
*
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Employees details
How many full-time staff are employed by the business (excluding shareholders)?
*
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