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PASSPORT

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HERE
ALL FARMERS’ ASSOCIATION OF NIGERIA
ACCEPTANCE FORM FOR AFAN ANCHOR BORROWER’S PROGRAMME LOAN
(All fields must be completed for your acceptance to be considered; where not applicable please state N/A)
1. PERSONAL INFORMATION
TITLE: MR. MRS. MISS DR OTHERS
NAME:
SURNAME FIRTSNAME OTHER NAMES

MARITAL STATUS: SINGLE MARRIED OTHERS

GENDER: F M DATE OF BIRTH:
PLACE OF BIRTH: NATIONALITY:
LGA: STATE OF ORIGIN:
2. CONTACT DETAILS
STREET ADDRESS:
CITY/TOWN: STATE/REGION: COUNTRY:
EMAIL ADDRESS:
PHONE NUMBER: +234
MEANS OF IDENTIFICATION
NIMC SLIP NATIONAL I.D CARD NATIONAL DRIVER’S LICENSE INT’L PASSPORT
INEC VOTERS CARD
I.D NO.: ID ISSUE DATE: ID EXPIRY DATE:
3. BANK DETAILS
S/N NAME AND ADDRESS OF THE ACCOUNT NAME ACCOUNT NUMBER STATUS
BANK/ BRANCH ACTIVE/DORMANT
1
2
3
4

BVN:
NB: That the bank mention above will be used by CBN as means of verifying the details of the farmer and checking their loan history, you are advised to state the
account that is active in status and tally with the information you provided.
4. LOAN DETAILS

PROGRAM: Anchor Borrower’s Programme (ABP)

LOAN TYPE: All Farmers Association of Nigeria (AFAN)
LOAN AMOUNT: ₦680,000.00
03% Interest rate deducted from the loan (single digit interest loan)

LOAN TENOR: The tenor of the loan is determined by the gestation of the commodity
LOAN REPAYMENT: The repayment of the loan is from the produce harvested.

I have read and understand the loan details for AFAN anchor borrower’s programme loan and I agree to
the above loan condition as a farmer. Farmer Signature and Date:
5. FARM DETAILS
TYPE OF FARM PRODUCED
Cereals (Rice, Maize, wheat etc.)
Cotton
Roots and Tubers (Cassava, Potatoes, Yam, Ginger etc.)
Sugarcane
Tree crops (Oil palm, Cocoa, Rubber etc.)
Legumes (Soya bean, Sesame seed, Cowpea etc.)
Tomato
Livestock (Fish, Poultry, Ruminants etc.)

FARM SIZE:
NB: Farmers should measure their farm size in hectares

FARM LOCATION:
6. ACCEPTANCEREQUIREMENTS CHECKLIST
Farmers should tick on this requirement checklist in order to help them track their progress in the
acceptance process.
Duly completed acceptance form for AFAN anchor borrower’s loan
Recent passport photograph
Valid means of identification
Bank details with BVN provided
Measurement of farm size by farmers
Proof of payment of acceptance fees: NGN 2,000.00; Payment options below:
Farmers can use any of the alternatively payment options below to pay their acceptances fee of NGN
2,000.00.

Bank: WEMA BANK PLC

Account Name: ABP HUB

Account Number: 8270012772

Bank: WEMA BANK PLC Bank: WEMA BANK PLC

Account Name: ABP Account Name: ABP HUB

Account Number: 8270012771 Account Number: 8270012772

Mail acceptance form to the All Famers’ Association of Nigeria (AFAN) acceptance unit Email;
acceptanceunit.afan@gmail.com

Farmer will receive Expression of Interest (EOI) form immediately payment is confirmed by the acceptance unit officers; loan disbursement is
process within 5 working days from submission of EOI form.

NOTE:

- The acceptance is open for the period of 1 week for suitable qualified Nigerian farmers.
- Loan will be credited into the bank account farmer provided on this acceptance form after it’s
validated using the farmers BVN by our NIBBS team.
- Accreditation of loan is only guarantee if the above requirement is fully recognize by the farmers.
- Acceptance form send without proof of payment of the NGN 2,000.00 acceptance fees will be
rendered void by our teams that verify the loan process.
- While paying the acceptance fees, you are only allowed to write your name as the
description/narration of the transfer or don’t write anything else (i.e you are not allowed to write loan
acceptance fee or something else).

DECLARATION BY FARMER

I hereby solemnly affirm and declare that the information provided in this acceptance form is correct and
genuine in all respects. In case any information is found to have been falsified, then the same shall render
the acceptance form null and void, and shall result in automatic cancellation of my acceptance.

Date: Signature of farmer: