Final Application Form-Ethanol Business Loan Mongu IY

SKILLS DEVELOPMENT
AND
ENTREPRENEURSHIP
PROJECT SUPPORTING
WOMEN AND YOUTH
(SDEP-SWY)
APPLICATION FORM
BUSINESS LOAN- ETHANOL PROCESSING PLANT AT

MONGU INDUSTRIAL YARD
DISTRICT: MONGU
Project Identification Number
Type of Project : AGRO PROCESSING
ETHANOL PRODCUTION FROM AGRO COMMODITIES (CASSAVA, SWEEET

POTATO, ETC)
Date of Application
CEEC Application Form for Ethanol Processing Plant business loan at
Mongu Industrial Yard
SPECIFIC INFORMATION TO THE APPLICANT
The Citizens Economic Empowerment Commission (CEEC) is inviting targeted citizens and
companies to apply for a business loan to establish a medium size ethanol processing plant at
Mongu Industrial Yards in one of the general industrial workshops. The Commission has set
aside USD300, 000.00 as business loan for this enterprise.
DISTRIC Facility No LOCATION

T
Mongu General workshop 1 Mongu Industrial Yard, 12km from
CDB along Lusaka Rd
The facility comes serviced with ZESCO grid electricity, water reticulation, common user
restaurant, common user toilets, garbage collection services and general security services.
Successful applicant will be eligible for the ethanol processing plant business loan from
CEEC. The business to be awarded will produce ethanol for supply to MSMEs producing
alcohol based hand sanitizers and other sanitizing agents used in the control of the spread of
Covid 19.
1.0 APPLICANT INFORMATION

1.1 Name of Business or Person
Applying
a. Current business activities, if any
b. Legal Form of Applicant (e.g. Limited

Company, Cooperative, etc.) Attach
copy of certificate if registered.
c. Copy of business registration Yes No
certificate
d. Physical address of Applicant
e. Contact Number(s) for Applicant
f. Next of Kin and their physical

address and Phone
1
1.2 Shareholders of the Business:
Physically
NRC/ Challenged
% Position in
No Passport No. (Disabled)
Full Names Nationality share the
. (provide
holding Business
copy of ID) Yes No
1.3 Authorized Representative
(to act on behalf of the Applicant and respond to any questions regarding the Concept
Note)
Name of Contact Person
Position in the Business
Contact Number(s) Cell: Telephone:
Email
1.4 Previous CEEC Funding

Is Applicant or any of its shareholders Yes No
already a beneficiary of CEEC
Empowerment Fund?
If Yes give details:
Name of Business
Type of Registration of Business
1.5 Financial Data (Please provide Financial data for your business).
What is the Monthly Income of the business?

ZMW
What is the Monthly Expenses of the business?
ZMW
ZMW
How much have you invested in the business?
20. MARKET OVERVIEW

2.1 Trends in Demand (describe the market demand for product/service)
2
2.2 Trends in Supply(describe the supply situation in the market of your

product/service)
3.0 DESCRIPTION OF PROPOSED PROJECT

3.1 Business Operations
How is your business going to compete in terms of the following:

a)What products and/or services will you be selling to your customers?
b)Technology/Equipment and cost of production

i) Briefly explain how your business will operate from Production,
Processing up-to Marketing
3
ii) What kind of equipment will be needed for the operations
iii) What will such types of equipment be used for in the operations
iv) Where will you secure raw materials from and how?
v) What will be your cost of production per month
d) Price of products and income:

i) What will be the price of your products/services
ii) What will be your income per month from the business operations
e) Sales Volumes
i) What will be your level of production per month or year
ii) Who will be your major competitors in terms of supplying the same
4
products/services and why do you think you will survive the competition
3.3 Proposed Management Team

[Please indicate names, positions, qualification and relevant experience of key
members of the management team that will implement and run the proposed
business. StartUp businesses may only include positions]
No Management Management Qualification and
Full Name
. Position Experience
3.4 What will be the Business Impact? In not more than a sentence on each,
please indicate the positive impact this business will have on the following:
a) How will your
customers
benefit from
your business?
b) How will your
suppliers
benefit from
your business?
5
Of which
Women Men Total Physically
Youth Challenged
(Disabled)
c) Number of Before
Workers: CEEC
Funding
After
CEEC
Funding
4.0 PROJECT BUDGET

No. Item Quantity Cost (ZMW) Total (ZMW)
Total Budget
4.1 CLIENT CONTRIBUTION

Will any of the above items be financed by the Business? If so, list below.
No. Item Quantity Cost (ZMW) Total (ZMW)
Total Budget
4.2 The Loan
The Loan for Ethanol Processing Plant falls under the Project Finance Business Loan
Category and requires collateral.
Please list collateral (e.g. house,

Estimated Value of Collateral (in K)
farm, etc)
4.3 Project Implementation
6
Within 1-2 months Within 3-4 months
If you are funded, when would
Within 5-6 months More than 6 months
operations start?
Signatur
e Date
FOR CEEC USE ONLY

Target Youth Wome Physically Men
Group n Challenged
Review Date Stamps:
Signature CHAIRPERSON Signature HEAD

PROVINCIAL QUARTERS
EVALUATION CHAIRPERSON
COMMITTEE EVALUATION
COMMITTEE

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SKILLS DEVELOPMENT

BUSINESS LOAN- ETHANOL PROCESSING PLANT AT

Project Identification Number

Type of Project : AGRO PROCESSING

ETHANOL PRODCUTION FROM AGRO COMMODITIES (CASSAVA, SWEEET

SPECIFIC INFORMATION TO THE APPLICANT

DISTRIC Facility No LOCATION

1.0 APPLICANT INFORMATION

b. Legal Form of Applicant (e.g. Limited

d. Physical address of Applicant

e. Contact Number(s) for Applicant

f. Next of Kin and their physical

1.3 Authorized Representative

Position in the Business

Contact Number(s) Cell: Telephone:

1.4 Previous CEEC Funding

If Yes give details:

Type of Registration of Business

What is the Monthly Income of the business?

20. MARKET OVERVIEW

2.2 Trends in Supply(describe the supply situation in the market of your

3.0 DESCRIPTION OF PROPOSED PROJECT

How is your business going to compete in terms of the following:

b)Technology/Equipment and cost of production

ii) What kind of equipment will be needed for the operations

v) What will be your cost of production per month

d) Price of products and income:

3.3 Proposed Management Team

4.0 PROJECT BUDGET

4.1 CLIENT CONTRIBUTION

4.2 The Loan

Please list collateral (e.g. house,

4.3 Project Implementation

FOR CEEC USE ONLY

Review Date Stamps:

Signature CHAIRPERSON Signature HEAD

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