Business Scoping Questionnaire (BSQ) Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1Company Profile2Business Overview/Summary3Financial Request4Financial Health5SummaryStatusPendingNot-supportedQualifiedReasonselect optionRC01 — Turnover below target bandRC02 — Insufficient project clarityRC03 — Outside agribusiness scopeRC04 — Missing financial informationRC05 — Early stage pre revenueRC06 — Duplicate submissionCompany Name *CAC Registration Number *Date of Incorporation *How long has your business been in operation? (Years) *--- Select Choice ---123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100Business Location/Address *MD/CEO/Business Promoter *Email Address *Phone Number * Key Management Staff – Name, Qualification Click the ⨁ plus sign to add more staff name and qualificationName *Qualification * Company Vision, Mission Statement and Core Values *NextWhat Value Chain Segment do you Operate in? *Pre-upstream (Inputs, Mechanization)Upstream (Farming, Primary Production)Midstream (Processing, Logistics)Downstream (Domestic/Industrial/Export Markets, Grain Merchants) List the services/products does your business provide? Click the ⨁ plus sign to add more service/productService/Product * Who are your key customers? *Please enter customer names separated by commasHave you articulated your business model and operating structure? *YesNoIf No, would you like NIRSAL provide this service for you? *YesNoDo you have a Business Plan? *YesNoIf No, would you like NIRSAL to develop a Business Plan for you? *YesNoWhat are your expansion plans? *Have you done a feasibility study? *YesNoIf No, would you want NIRSAL to provide this service? *YesNoWhat is your competitive advantage? *Describe Your Target Market *Do you have a verifiable guaranteed offtake? Please describe *Would you like NIRSAL to provide market linkages for your products/services? *YesNoWould you like NIRSAL to provide Farmland/Farmers and any other aggregation support? *YesNoPreviousNextHow much financing do you need? *Clearly state the purpose of the facility *What Collateral are you providing for this facility? * service? of management Do you have a source of finance for this request? *YesNoIf Yes, please state the source? *If No, would you like NIRSAL to facilitate finance for this request? *YesNoWhat type of Finance would you prefer? *Conventional Bank LoansDevelopment FinanceNon-Interest FinanceSource of loan repayment (repayment plan) *Do you have a three-years audited accounts? *YesNoDo you have an annual bank statement? *YesNoDoes your company have a management accounts in place? *YesNoIf No, would you like NIRSAL to help you in doing your Management Accounts? *YesNoDo you have cashflow projections? *YesNo If No, would you like NIRSAL to provide this service for you? *YesNoPreviousNextHas your company taken loan before? *YesNoIf Yes, how much and with which lending institution? *Does your company currently have any outstanding loans or credit facilities? *YesNoIf Yes, specify the lending institution(s), loan amount, tenor, and repayment status. *How much equity contribution/cash collateral can you put up? *Also indicate the percentage of the equity contributionWhat is your Average Annual Turnover? *State the Value of your Existing Assets *PreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
