ThirdWell Input Financing Scheme
Input Financing Application Form
Application No: FIN-TWIFS-APR | Date Prepared: 10 Jun 2026
Part A — Farmer Details
FARM-DEMO-0010
Demo Community
Part B — Programme & Field Officer
2026 Maize-Soy Input Finance Programme
Yaw Purchasing Agent
Part C — Farm & Crop Details
Yellow Maize (Composite)
7.5900,-1.9600
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. |
1,000.00 |
| 2 |
Composite Maize Seed |
Seed |
product |
140.00 |
— |
8.00 |
70.00 |
April |
SeedTech Ghana |
560.00 |
| 3 |
NPK Compound |
Fertilizer |
product |
400.00 |
— |
8.00 |
200.00 |
May |
AgroInputs Ltd |
1,600.00 |
| 4 |
Armyworm Control Spray |
Pesticide |
product |
80.00 |
— |
4.00 |
80.00 |
July |
AgroInputs Ltd |
320.00 |
| TOTAL FINANCING AMOUNT (GHS) |
3,480.00 |
| APPROVED AMOUNT (GHS) |
3,480.00 |
Part E — Expected Yield & Repayment
2500.00
10,000.00
1,500.00 kg
8,500.00
2,125.00
8,500.00 kg
Part F — Guarantor Details
Kofi Acheampong
3,000.00
Part G — Farm Visit & Decision
Full TWIFS assessment completed. Farm visit confirmed.
Signatures & Declaration
Generated 10 Jun 2026 10:49 · FIN-TWIFS-APR · AgriValue Input Financing System