ThirdWell Input Financing Scheme
Input Financing Application Form
Application No: FIN-TWIFS-DRAFT | Date Prepared: 10 Jun 2026
Part A — Farmer Details
FARM-DEMO-0004
Demo Community
Part B — Programme & Field Officer
2026 Maize-Soy Input Finance Programme
Yaw Purchasing Agent
Part C — Farm & Crop Details
Yellow Maize (Open Pollinated Variety)
7.6041,-1.9325
Apr 2026
October 2026
November 2026
30 Nov 2026
Part D — Crop Budget (Inputs to be Financed)
| # |
Item Name / Description |
Type of Input |
Category |
Cost/Acre (GHS) |
No. Acres |
Qty |
Unit Cost (GHS) |
Month |
Supplier / Provider |
Total (GHS) |
| 1 |
Ploughing & Harrowing |
Land Preparation |
service |
250.00 |
— |
— |
— |
April |
Demo Tractor Co. |
750.00 |
| 2 |
Improved Maize Seed |
Seed |
product |
120.00 |
— |
6.00 |
60.00 |
April |
SeedTech Ghana |
360.00 |
| 3 |
NPK 15-15-15 |
Fertilizer |
product |
400.00 |
— |
6.00 |
200.00 |
May |
AgroInputs Ltd |
1,200.00 |
| 4 |
Weeding (2 rounds) |
Labour |
service |
180.00 |
— |
— |
— |
June |
Community Labour Pool |
540.00 |
| TOTAL FINANCING AMOUNT (GHS) |
2,850.00 |
Part E — Expected Yield & Repayment
2200.00
6,600.00
900.00 kg
5,700.00
1,900.00
5,700.00 kg
Part F — Guarantor Details
Kweku Mensah
2,000.00
TWIFS demo guarantor.
Part G — Farm Visit & Decision
Signatures & Declaration
Generated 10 Jun 2026 12:59 · FIN-TWIFS-DRAFT · AgriValue Input Financing System