Loan Application | 1

Your Acceptance Of Terms

Before you proceed, please note we will be undertaking personal credit checks for nominated applicants.

This application form is for Boost, Expand and Flourish loans only. If wish to apply for a Start Up Loan then please complete the form available here .

If you provide information about any other people you represent or as part of your loan application (for example, they may be co-directors, business partners, shareholders or guarantors), you must ensure that you have their personal authority to do so and to act on their behalf.

By ticking the box below you confirm and declare that you have that authority and that the individuals concerned have read and agree with the contents of our Terms of Engagement, Privacy Notice, Personal Guarantee Notice and Transunion Privacy Notice.

I Agree

Loan Application | 2

About You

Please complete ALL fields that are applicable to you. Incomplete fields may delay the progress of your application.

This application form is for Boost, Expand and Flourish loans only. If you wish to apply for a Start Up Loan then please complete the form available here .

Your details

Title

First name

Middle name

Family name

Maiden / previous name

Date of birth

dd/mm/yyyy

Contract signing authority

Job title

Current address

City

Postcode

How many years have you lived at your current address?

Previous addresses

Click the 'Add another previous address' link to add multiple previous addressses

Previous addresses (If less than 3 years):

How long at previous addresses?

Your contact details

Personal email address

Home telephone number

Mobile telephone number

Preferred method of contact

More information about you

What is your ethnicity?

Choose one option that best describes your ethnic group or background

Ethnic background?

Choose one option that best describes your ethnic group or background

If other ethnicity, please describe

Which of the following best describes you?

What is your marital status?

How many dependants do you have?

A spouse, partner, child, grandchild, parent, or someone who depends on you for care.

Do you have a disability?

Disability

What does this cover?

Are you a UK citizen?

Do you have the right to live and work in the UK?

Loan Application | 3

About Your Business

Please complete ALL fields that are applicable to you. Incomplete fields may delay the progress of your application.

This application form is for Boost, Expand and Flourish loans only. If you wish to apply for a Start Up Loan then please complete the form available here .

Business details

Business name

Business address

City

Postcode

Business telephone number

Business email address

Website

Company number (If applicable)

VAT number (If applicable)

Sector of trade

Company structure

Trading start date

dd/mm/yyyy

Business management

Select which best describes your business customers

How much experience do you have running your business?

Which of the following do you use to manage your business finances?

Tell us about your sales and marketing experience

Current financials

Last quarter turnover £

For current financial year. Numbers only.

Annual turnover £

Numbers only

Forecast turnover £

Numbers only

Pre-tax profits £

Numbers only

Current total debt £

Numbers only

Details of loan

Purpose of loan?

Select your main reason for borrowing.

How much would you like to borrow?

Please enter a loan amount between £500 and £250,000. Numbers only.

How long do you want to borrow for?

Are you the only director in your business?

About additional directors

Please confirm the details of all additional directors of your business. Each director will be asked to complete and sign a personal declaration. Click 'Add another Director' link to add directors.

Title

Contract signing authority

First name

Family name

Personal email address

Impact of loan

Number of current FT employees

Number of current PT employees

Number of jobs created

Number of jobs saved

Business bank account

Name of bank

Choose which best describes your business bank account activity in the last 3 months:

Who referred you to BEF?

How did you hear about BEF?

What is the name of the person who introduced you to BEF?

What is the name of the business or organisation they represent?

Which BEF team member were you introduced to?

Loan Application | 4

Self-Declaration

The loan will be granted upon your ability to repay the agreed loan so please be honest in the following section.

This application form is for Boost, Expand and Flourish loans only. If you wish to apply for a Start Up Loan then please complete the form available here .

Applicant Self Declaration

Your assets

Please state the value of your current address £

The total value of your property assets. Numbers only.

Please state the value of your other assets £

The total value of your investment + cash + vehicle assets. Numbers only.

Personal debt

Name of the business the debt is owed to

Bank, credit card, store card, mortgage etc.

What is the debt?

Amount outstanding £

Numbers only

Monthly repayments £

Numbers only

Directors responsibility

Have you ever been disqualified as a director?

If yes, please provide details

Have you been a director of a company that has entered insolvency proceedings?

If yes, please provide details

Have you ever been declared bankrupt?

If yes, please provide full details

Have you had or do you have any county court judgements (CCJs)?

If yes, please provide full details

Have you had or do you have any Individual Voluntary Arrangements (IVAs)?

If yes, please provide full details

Eligibilty

Have you ever applied for start-up loans in the past?

If yes, please provide full details

Have you ever attempted to obtain finance from another institution and were unsuccessful?

i.e. barclays, Halifax, Peer to Peer Lending etc.

If yes, please provide full details and documentation where available

Has your business been affected by the COVID-19 pandemic?

Is your business or any of its group companies registered or active in Northern Ireland and/or do you have any place to operate in Northern Ireland within the next three years?

Do you have any existing government backed lending such as BBLS, CBILS or RLS supported loans?

If yes, please advise what and amounts borrowed

I/We declare that the information that I/we have provided in connection with my/our application for Loan finance is true and accurate.

I/We agree that the representatives of Business Enterprise Fund may make any checks that they feel necessary regarding this information in order to help make a decision on the application for finance.

I/We authorise Business Enterprise Fund to discuss and exchange any appropriate personal information (including copies of documentation verifying my identity, address and bank details) with trusted partners, including Start Up Loans Company, in relation to my loan application.

By clicking 'Submit' I certify that the information and documentation that has been supplied in support of the applicant organisation is correct and that all the material particulars have been disclosed