Create Financing Application

1. Farmer & Programme Details

Farmer *

Programme

Agent / Field Officer

ID Type

ID Number

Crop *

Type of Crop (description)

Acres to Cultivate *

Farm Coordinates (lat,lon)

Month of Cultivation

Month of Harvest

Expected Harvest Month

Expected Repayment Month

Line total = quantity × unit cost when supplied, otherwise cost per acre × acres. At least one item required.

#	Item Name *	Type of Input	Category	Cost/Acre	No. Acres	Qty	Unit Cost	Month	Supplier / Provider

Yield per Acre (kg)

Expected Repayment Quantity

Repayment Unit

Available Quantity / Acre (kg)

Override Reason (if repayment qty > yield)

Payment Deadline

Expected total yield and available quantity are calculated automatically from acres × yield per acre.

Guarantor Name

Contact

Location / Community

Relationship to Farmer

Amount Guaranteed (GHS)

Notes

Farm Visited?

Date of Visit