COVID-19 RELIEF WEB APPLICATION FORM

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ITC De-listing Application for Individuals

ITC De-listing Application for Legal Entities

Restructuring & ITC De-listing Application for Individuals

Restructuring & ITC De-listing Application for Legal Entities

Restructuring & Instalment Holiday Application for Individuals

Restructuring & Instalment Holiday Application for Legal Entities

Instalment Holiday Application for Legal Entities

Instalment Holiday Application for Individuals


GENERAL INFORMATION

Please make sure you have read and understood the following information before completing the application. Complete all sections. Incomplete applications will not be processed. The application must be submitted on this form. No faxes and or Emails will be accepted.   


Are you an Individual or Corporate Client?

Applicant Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Applicant Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Select a COVID-19 Relief Package below

ITC DE-LISTING {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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RESTRUCTURING {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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INSTALMENT HOLIDAY {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Application Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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ITC DE-LISTING

This choice allows for the removal of ITC listings made by Agribank against the applicants name. To qualify for this option the applicant needs to:

  • Pay a minimum of 10% of ALL their current arrears balances. 
  • As soon as proof of payment is received, the de-listing will be processed within 72 hours.  

LOAN RESTRUCTURING & ITC DE-LISTING

This choice allows for the complete restructuring of the Agribank loans held by the applicant. The applicant will also be de-listed from ITC. To qualify for this option the applicant needs to:

  • Pay a minimum of 20% of ALL their current arrears balances.    
  • Provide a Reset Plan to restructure their operations to ensure a sustainable business.  

Once this application is approved, please submit proof of payment of required amount for restructuring to be performed on the Total Outstanding Balance of affected loans.


INSTALMENT HOLIDAY

Clients are always encouraged to make payments where possible. However, this choice allows for the postponement of the next, upcoming instalment(s) of Agribank loans held by the applicant for a period of 12 months. The current installment, inclusive of interest, will be capitalised. To qualify for this option the applicant needs to:

  • Provide an explanation of how the COVID-19 Lockdown affected their farming business.   
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Company Details

Company Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Type of Legal Entity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Type of Legal Entity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Registration No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Tax / VAT No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Social Security Commission No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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NAMFISA No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Sector {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Member {binding ItemNumber}
Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Is this member liable to sign as a co-signor or guarantor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Is this member liable to sign as a co-signor or guarantor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Primary Applicant

Salutation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Middle Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Upload Client Photo

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Spouse

Salutation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Middle Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Upload Client Photo

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Contact Information

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Communication Preference {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What is the preffered method of communication Agribank can use to contact you?

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Next of KIN (Not Living with You)

KIN Relationship {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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KIN Full Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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KIN Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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KIN Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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KIN Residential Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Postal Address

PO Box {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Private Bag {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Private Bag {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Postal Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Postal Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Physical Address

Physical Address is on a Farm  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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YesNo NoYes
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Street Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Street No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Farm Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Farm No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Resident Suburb {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Resident Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Resident District {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Resident Region {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Resident Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Personal Profile 

Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employment Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Level of Education {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Level of Education {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Marital Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Annual Salaried Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Farming Profile

Farm Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Farm No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Farming Mode {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Farming Segment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Primary Farming Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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{binding AnnualFarmingIncomePrimaryFarmingActivity_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Secondary Farming Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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{binding AnnualFarmingIncomeSecondaryFarmingActivity_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total Farming Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Farm Employee(s) Profile

# of Full Time Farm Employees (Current)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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# of Seasonal Farm Employees (Current)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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 After implementing your Reset Plan...

# of Full Time Farming Employees (Plan)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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# of Seasonal Farm Employees (Plan)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Primary Applicant - Employment Details

Employer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Secondary Applicant (Spouse) - Employment Details

Employer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Employer Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{# pageNumbers}

KYC01 Information - Company

This form must be completed by natural persons who enter into a relationship with the Agricultural Bank of Namibia. This includes natural persons associated with entities such as Companies, Close corporations, Trusts and Partnerships and all individuals acting on behalf of an entity.

Please download and complete the document here and bring along when visiting Agribank:

Download
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KYC01 Information - Individual

This form must be completed by natural persons who enter into a relationship with the Agricultural Bank of Namibia. This includes natural persons associated with entities such as Companies, Close corporations, Trusts and Partnerships and all individuals acting on behalf of an entity.

Please download and complete the document here and bring along when visiting Agribank:

Download
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Enhanced Due Diligence Form

If you are a Political Exposed Person or a Foreigner, please download and complete the Enhanced Due Diligence Form below and bring along when visiting Agribank:

Download
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KYC Documentation Uploads

Upload ID Documents {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Upload Marriage Certificate {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
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Upload Signed KYC Documents  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
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Banking Details

Bank Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Banking Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Account Holder Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Account Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Branch Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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IBAN / Swift Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Account No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Provide the details of your primary contact at your current bank below. 

Bank Manager Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Bank Manager Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Bank Manager Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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ASSETS 

FIXED ASSETS - PROPERTIES

Farm Properties

Farm Name 
Number
District
Farm Size 
Value 
Farm {binding ItemNumber}
Farm Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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District {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Farm Size  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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ha

Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Town Properties

Erf No
Town
Property Size
Value 
Property {binding ItemNumber}
Erf No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Property Size {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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sq.m

Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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MOVABLE ASSETS

Infrastructure

Type 
Description
Year
Value 
Item {binding ItemNumber}
Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{binding displayValue}
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Livestock

Livestock Type
Sub-Type
Unit Price
Quantity
Value
Item {binding ItemNumber}
Livestock Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Sub-Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Unit Price {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Quantity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other

Type 
Description
Due Date 
Value 
Item {binding ItemNumber}
Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Due Date  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Liabilities

BONDED FIXED PROPERTIES

Type
Bond Holder Name
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Bond Holder Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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{binding displayValue}
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ENCUMBERED MOVABLES (Vehicles, Tractors, Livestock etc.)

Item
Creditor
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Creditor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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{binding displayValue}
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OTHER DEBTS

Item
Creditor
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Creditor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{binding displayValue}
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Total Annual Commitments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Debt Ratio


 

{ binding firstError.message }
Add your own Balance Sheet  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }

If you have your own Balance Sheet Statement, you can upload it here, rather than filling in the section above.

{# pageNumbers}

INCOME

Farming Income

Livestock Type
Sub-Type
Unit Cost
Quantity
Annual Income
Item {binding ItemNumber}
Livestock Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sub-Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Unit Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Quantity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Other Income

Type
Description
Annual Income
Item {binding ItemNumber}
Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

EXPENSES

Farming Annual Expenses

Expense Type 
Expense Description 
Annual Cost
Item {binding ItemNumber}
Expense Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Expense Description  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Non-Farming Expenses

Expense Type 
Expense Description 
Annual Cost
Item {binding ItemNumber}
Expense Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Expense Description  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
% Production Expense  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Financials

Upload 6 Months of Banking Statements {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
 Upload Cash Flow Forecast {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Upload your Own Income Statement  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }

If you have your own Income Statement, you can upload it here, rather than filling in the section above.

{ binding firstError.message }
{# pageNumbers}

COVID-19 Impact Assessment

Market Impact of the COVID-19 Lockdown

The food supply chain is a complex web that involves producers, consumers, agricultural inputs, processing and storage, transportation and marketing. On this page, we want to better understand how the COVID-19 Lockdown impacted your farming business.  

The Market

The supply and demand of agriculture products might have been impacted in various ways during the lockdown. 

Auctions & Abatoirs {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

What impact did your experience with supplying animals to auctions or abattoirs?

Retailers & Street Vendors  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

With the closure of restaurants and other markets, how did this affect your business?

Transport & Logistics {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

What impact did regional & international lockdowns have on the transport & marketing of your product?

{ binding firstError.message }

Labour Workforce

Number of Permanent Labourers  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Number of Temporary Labourers {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How was the labour workforce affected?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Further Elaboration

Any other impacts  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Additional Supporting Documents {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }
Indicate your loss of income  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
When do you expect to recover your business? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Proof Documentation for the indicated loss {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }
{# pageNumbers}

The Reset Plan 

Your Reset Plan demonstrates how you will restructure your business to ensure that it will become an sustainable business.


 

What NEW Agricultural generating income activities will you introduce?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Additional Revenue Streams

Activity
Quantity 
Income
Activity {binding ItemNumber}
Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Quantity  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

What Farming Expenses will you reduce?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Farming Expense Reduction Measures

Item
Annual Cost 
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

What NEW Investments will you require for this Reset Plan?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Investment List

Item
Investment
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Investment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Attached a cash flow projection to demonstrate viability of the farming business with existing and new activities. 

Attach Cashflow Projection {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }

 

Interested in Agribank Support on your RESET PLAN? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Interested in Agribank Support on your RESET PLAN? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Agribank Support on your Reset Plan

{binding WantAStimulusLoanForParentSectionTotalInvestment_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{binding WantAStimulusLoanForParentSectionTotalInvestment_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

If you are in good standing with Agribank or your Arrears Restructuring has first been approves, you can apply for a COVID-19 STIMULUS Package. Your Agribank branch will contact you with more information.

Interested in Agribank Technical Support? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Interested in Agribank Technical Support? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

If you are in good standing with Agribank or your Arrears Restructuring has first been approved, Agribank can provide a site visit to your farm and provide advice on the implementation of your Reset Plan. If selected, the Bank will make an appointment with you.

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{# pageNumbers}

Appointment 

Select your Agribank Branch {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

 

{ binding firstError.message }
{ binding firstError.message }
CompletedIn Progress In ProgressCompleted
{ binding firstError.message }
{# pageNumbers}

COVID-19 RELIEF WEB APPLICATION FORM

ITC De-listing Application for Individuals

ITC De-listing Application for Legal Entities

Restructuring & ITC De-listing Application for Individuals

Restructuring & ITC De-listing Application for Legal Entities

Restructuring & Instalment Holiday Application for Individuals

Restructuring & Instalment Holiday Application for Legal Entities

Instalment Holiday Application for Legal Entities

Instalment Holiday Application for Individuals


GENERAL INFORMATION

Please make sure you have read and understood the following information before completing the application. Complete all sections. Incomplete applications will not be processed. The application must be submitted on this form. No faxes and or Emails will be accepted.   


Are you an Individual or Corporate Client?

Applicant Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Select a COVID-19 Relief Package below

ITC DE-LISTING {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
RESTRUCTURING {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
INSTALMENT HOLIDAY {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Application Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

ITC DE-LISTING

This choice allows for the removal of ITC listings made by Agribank against the applicants name. To qualify for this option the applicant needs to:

  • Pay a minimum of 10% of ALL their current arrears balances. 
  • As soon as proof of payment is received, the de-listing will be processed within 72 hours.  

LOAN RESTRUCTURING & ITC DE-LISTING

This choice allows for the complete restructuring of the Agribank loans held by the applicant. The applicant will also be de-listed from ITC. To qualify for this option the applicant needs to:

  • Pay a minimum of 20% of ALL their current arrears balances.    
  • Provide a Reset Plan to restructure their operations to ensure a sustainable business.  

Once this application is approved, please submit proof of payment of required amount for restructuring to be performed on the Total Outstanding Balance of affected loans.


INSTALMENT HOLIDAY

Clients are always encouraged to make payments where possible. However, this choice allows for the postponement of the next, upcoming instalment(s) of Agribank loans held by the applicant for a period of 12 months. The current installment, inclusive of interest, will be capitalised. To qualify for this option the applicant needs to:

  • Provide an explanation of how the COVID-19 Lockdown affected their farming business.   

Company Details

Company Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Type of Legal Entity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Registration No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Tax / VAT No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Social Security Commission No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
NAMFISA No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sector {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

{binding MembersOfCompanyName_Label }

Member {binding ItemNumber}
Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is this member liable to sign as a co-signor or guarantor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Primary Applicant

Salutation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Middle Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }

Spouse

Salutation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Middle Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }

Contact Information

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Communication Preference {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Next of KIN (Not Living with You)

KIN Relationship {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
KIN Full Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
KIN Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
KIN Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
KIN Residential Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Postal Address

PO Box {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Private Bag {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Private Bag {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Postal Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Postal Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

 

Physical Address

Physical Address is on a Farm  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Street Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Street No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farm Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farm No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident Suburb {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident District {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident Region {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Personal Profile 

Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employment Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Level of Education {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Marital Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Salaried Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

{ binding firstError.message }

Farming Profile

Farm Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farm No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farming Mode {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farming Segment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Primary Farming Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding AnnualFarmingIncomePrimaryFarmingActivity_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Secondary Farming Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding AnnualFarmingIncomeSecondaryFarmingActivity_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Total Farming Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

{ binding firstError.message }

Farm Employee(s) Profile

# of Full Time Farm Employees (Current)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
# of Seasonal Farm Employees (Current)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 After implementing your Reset Plan...

# of Full Time Farming Employees (Plan)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
# of Seasonal Farm Employees (Plan)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Primary Applicant - Employment Details

Employer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Employer Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Secondary Applicant (Spouse) - Employment Details

Employer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Employer Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

KYC01 Information - Company

This form must be completed by natural persons who enter into a relationship with the Agricultural Bank of Namibia. This includes natural persons associated with entities such as Companies, Close corporations, Trusts and Partnerships and all individuals acting on behalf of an entity.

Please download and complete the document here and bring along when visiting Agribank:

Download
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KYC01 Information - Individual

This form must be completed by natural persons who enter into a relationship with the Agricultural Bank of Namibia. This includes natural persons associated with entities such as Companies, Close corporations, Trusts and Partnerships and all individuals acting on behalf of an entity.

Please download and complete the document here and bring along when visiting Agribank:

Download
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Enhanced Due Diligence Form

If you are a Political Exposed Person or a Foreigner, please download and complete the Enhanced Due Diligence Form below and bring along when visiting Agribank:

Download
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KYC Documentation Uploads

Upload ID Documents {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Upload Marriage Certificate {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Upload Signed KYC Documents  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }

Banking Details

Bank Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Banking Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Account Holder Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Account Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Branch Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
IBAN / Swift Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Account No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Provide the details of your primary contact at your current bank below. 

Bank Manager Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Bank Manager Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Bank Manager Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

ASSETS 

FIXED ASSETS - PROPERTIES

Farm Properties

Farm Name 
Number
District
Farm Size 
Value 
Farm {binding ItemNumber}
Farm Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
District {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farm Size  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Town Properties

Erf No
Town
Property Size
Value 
Property {binding ItemNumber}
Erf No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Property Size {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

MOVABLE ASSETS

Infrastructure

Type 
Description
Year
Value 
Item {binding ItemNumber}
Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Livestock

Livestock Type
Sub-Type
Unit Price
Quantity
Value
Item {binding ItemNumber}
Livestock Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sub-Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Unit Price {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Quantity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Other

Type 
Description
Due Date 
Value 
Item {binding ItemNumber}
Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Due Date  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Liabilities

BONDED FIXED PROPERTIES

Type
Bond Holder Name
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Bond Holder Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{binding displayValue}
{ binding firstError.message }

ENCUMBERED MOVABLES (Vehicles, Tractors, Livestock etc.)

Item
Creditor
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Creditor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{binding displayValue}
{ binding firstError.message }

OTHER DEBTS

Item
Creditor
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Creditor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{binding displayValue}
{ binding firstError.message }
Total Annual Commitments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Debt Ratio


 

{ binding firstError.message }
Add your own Balance Sheet  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }

INCOME

Farming Income

Livestock Type
Sub-Type
Unit Cost
Quantity
Annual Income
Item {binding ItemNumber}
Livestock Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sub-Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Unit Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Quantity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Other Income

Type
Description
Annual Income
Item {binding ItemNumber}
Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

EXPENSES

Farming Annual Expenses

Expense Type 
Expense Description 
Annual Cost
Item {binding ItemNumber}
Expense Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Expense Description  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Non-Farming Expenses

Expense Type 
Expense Description 
Annual Cost
Item {binding ItemNumber}
Expense Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Expense Description  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
% Production Expense  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Financials

Upload 6 Months of Banking Statements {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
 Upload Cash Flow Forecast {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Upload your Own Income Statement  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
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COVID-19 Impact Assessment

Market Impact of the COVID-19 Lockdown

The food supply chain is a complex web that involves producers, consumers, agricultural inputs, processing and storage, transportation and marketing. On this page, we want to better understand how the COVID-19 Lockdown impacted your farming business.  

The Market

The supply and demand of agriculture products might have been impacted in various ways during the lockdown. 

Auctions & Abatoirs {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Retailers & Street Vendors  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Transport & Logistics {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Labour Workforce

Number of Permanent Labourers  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Number of Temporary Labourers {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How was the labour workforce affected?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Further Elaboration

Any other impacts  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Additional Supporting Documents {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }
Indicate your loss of income  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
When do you expect to recover your business? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Proof Documentation for the indicated loss {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

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The Reset Plan 

Your Reset Plan demonstrates how you will restructure your business to ensure that it will become an sustainable business.


 

What NEW Agricultural generating income activities will you introduce?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Additional Revenue Streams

Activity
Quantity 
Income
Activity {binding ItemNumber}
Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Quantity  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

What Farming Expenses will you reduce?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Farming Expense Reduction Measures

Item
Annual Cost 
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

What NEW Investments will you require for this Reset Plan?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Investment List

Item
Investment
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Investment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Attached a cash flow projection to demonstrate viability of the farming business with existing and new activities. 

Attach Cashflow Projection {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }

 

Interested in Agribank Support on your RESET PLAN? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Agribank Support on your Reset Plan

{binding WantAStimulusLoanForParentSectionTotalInvestment_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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If you are in good standing with Agribank or your Arrears Restructuring has first been approves, you can apply for a COVID-19 STIMULUS Package. Your Agribank branch will contact you with more information.

Interested in Agribank Technical Support? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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If you are in good standing with Agribank or your Arrears Restructuring has first been approved, Agribank can provide a site visit to your farm and provide advice on the implementation of your Reset Plan. If selected, the Bank will make an appointment with you.

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Appointment 

Select your Agribank Branch {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }
{ binding firstError.message }

 

Authorised Applicant Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Authorised Co-Applicant Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Application Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
The email has been sent.

Your progress has been saved.

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COVID-19 RELIEF WEB APPLICATION FORM

ITC De-listing Application for Individuals

ITC De-listing Application for Legal Entities

Restructuring & ITC De-listing Application for Individuals

Restructuring & ITC De-listing Application for Legal Entities

Restructuring & Instalment Holiday Application for Individuals

Restructuring & Instalment Holiday Application for Legal Entities

Instalment Holiday Application for Legal Entities

Instalment Holiday Application for Individuals


GENERAL INFORMATION

Please make sure you have read and understood the following information before completing the application. Complete all sections. Incomplete applications will not be processed. The application must be submitted on this form. No faxes and or Emails will be accepted.   


Are you an Individual or Corporate Client?

Applicant Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Select a COVID-19 Relief Package below

ITC DE-LISTING {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
RESTRUCTURING {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
INSTALMENT HOLIDAY {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Application Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

ITC DE-LISTING

This choice allows for the removal of ITC listings made by Agribank against the applicants name. To qualify for this option the applicant needs to:

  • Pay a minimum of 10% of ALL their current arrears balances. 
  • As soon as proof of payment is received, the de-listing will be processed within 72 hours.  

LOAN RESTRUCTURING & ITC DE-LISTING

This choice allows for the complete restructuring of the Agribank loans held by the applicant. The applicant will also be de-listed from ITC. To qualify for this option the applicant needs to:

  • Pay a minimum of 20% of ALL their current arrears balances.    
  • Provide a Reset Plan to restructure their operations to ensure a sustainable business.  

Once this application is approved, please submit proof of payment of required amount for restructuring to be performed on the Total Outstanding Balance of affected loans.


INSTALMENT HOLIDAY

Clients are always encouraged to make payments where possible. However, this choice allows for the postponement of the next, upcoming instalment(s) of Agribank loans held by the applicant for a period of 12 months. The current installment, inclusive of interest, will be capitalised. To qualify for this option the applicant needs to:

  • Provide an explanation of how the COVID-19 Lockdown affected their farming business.   

Company Details

Company Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Type of Legal Entity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Registration No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Tax / VAT No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Social Security Commission No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
NAMFISA No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sector {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

{binding MembersOfCompanyName_Label }

Member {binding ItemNumber}
Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is this member liable to sign as a co-signor or guarantor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Primary Applicant

Salutation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Middle Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }

Spouse

Salutation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Middle Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Birthday {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }

Contact Information

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Communication Preference {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Next of KIN (Not Living with You)

KIN Relationship {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
KIN Full Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
KIN Mobile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
KIN Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
KIN Residential Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Postal Address

PO Box {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Private Bag {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Private Bag {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Postal Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Postal Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

 

Physical Address

Physical Address is on a Farm  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Street Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Street No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farm Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farm No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident Suburb {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident District {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident Region {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Resident Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Personal Profile 

Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employment Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Level of Education {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Marital Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Salaried Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

{ binding firstError.message }

Farming Profile

Farm Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farm No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farming Mode {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farming Segment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Primary Farming Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding AnnualFarmingIncomePrimaryFarmingActivity_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Secondary Farming Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding AnnualFarmingIncomeSecondaryFarmingActivity_Label, source = {{ $context.parentContext.dataItem }} } {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Specify {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Total Farming Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

{ binding firstError.message }

Farm Employee(s) Profile

# of Full Time Farm Employees (Current)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
# of Seasonal Farm Employees (Current)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 After implementing your Reset Plan...

# of Full Time Farming Employees (Plan)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
# of Seasonal Farm Employees (Plan)   {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Primary Applicant - Employment Details

Employer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Employer Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Secondary Applicant (Spouse) - Employment Details

Employer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Employer Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Employer Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

KYC01 Information - Company

This form must be completed by natural persons who enter into a relationship with the Agricultural Bank of Namibia. This includes natural persons associated with entities such as Companies, Close corporations, Trusts and Partnerships and all individuals acting on behalf of an entity.

Please download and complete the document here and bring along when visiting Agribank:

Download
{ binding firstError.message }

KYC01 Information - Individual

This form must be completed by natural persons who enter into a relationship with the Agricultural Bank of Namibia. This includes natural persons associated with entities such as Companies, Close corporations, Trusts and Partnerships and all individuals acting on behalf of an entity.

Please download and complete the document here and bring along when visiting Agribank:

Download
{ binding firstError.message }

Enhanced Due Diligence Form

If you are a Political Exposed Person or a Foreigner, please download and complete the Enhanced Due Diligence Form below and bring along when visiting Agribank:

Download
{ binding firstError.message }

KYC Documentation Uploads

Upload ID Documents {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Upload Marriage Certificate {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Upload Signed KYC Documents  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }

Banking Details

Bank Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Banking Country {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Account Holder Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Account Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Branch Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
IBAN / Swift Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Account No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Provide the details of your primary contact at your current bank below. 

Bank Manager Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Bank Manager Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Bank Manager Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

ASSETS 

FIXED ASSETS - PROPERTIES

Farm Properties

Farm Name 
Number
District
Farm Size 
Value 
Farm {binding ItemNumber}
Farm Name  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
District {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Farm Size  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Town Properties

Erf No
Town
Property Size
Value 
Property {binding ItemNumber}
Erf No {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Town {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Property Size {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

MOVABLE ASSETS

Infrastructure

Type 
Description
Year
Value 
Item {binding ItemNumber}
Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Livestock

Livestock Type
Sub-Type
Unit Price
Quantity
Value
Item {binding ItemNumber}
Livestock Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sub-Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Unit Price {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Quantity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Other

Type 
Description
Due Date 
Value 
Item {binding ItemNumber}
Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Due Date  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Value  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Liabilities

BONDED FIXED PROPERTIES

Type
Bond Holder Name
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Bond Holder Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{binding displayValue}
{ binding firstError.message }

ENCUMBERED MOVABLES (Vehicles, Tractors, Livestock etc.)

Item
Creditor
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Creditor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{binding displayValue}
{ binding firstError.message }

OTHER DEBTS

Item
Creditor
Interest Rate 
Annual Commitment 
Balance Owing
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Creditor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Interest Rate  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Commitment  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Balance Owing {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{binding displayValue}
{ binding firstError.message }
Total Annual Commitments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Debt Ratio


 

{ binding firstError.message }
Add your own Balance Sheet  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }

INCOME

Farming Income

Livestock Type
Sub-Type
Unit Cost
Quantity
Annual Income
Item {binding ItemNumber}
Livestock Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sub-Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Unit Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Quantity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Other Income

Type
Description
Annual Income
Item {binding ItemNumber}
Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

EXPENSES

Farming Annual Expenses

Expense Type 
Expense Description 
Annual Cost
Item {binding ItemNumber}
Expense Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Expense Description  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Non-Farming Expenses

Expense Type 
Expense Description 
Annual Cost
Item {binding ItemNumber}
Expense Type  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Expense Description  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
% Production Expense  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Financials

Upload 6 Months of Banking Statements {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
 Upload Cash Flow Forecast {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Upload your Own Income Statement  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }

COVID-19 Impact Assessment

Market Impact of the COVID-19 Lockdown

The food supply chain is a complex web that involves producers, consumers, agricultural inputs, processing and storage, transportation and marketing. On this page, we want to better understand how the COVID-19 Lockdown impacted your farming business.  

The Market

The supply and demand of agriculture products might have been impacted in various ways during the lockdown. 

Auctions & Abatoirs {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Retailers & Street Vendors  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Transport & Logistics {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Labour Workforce

Number of Permanent Labourers  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Number of Temporary Labourers {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How was the labour workforce affected?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Further Elaboration

Any other impacts  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Additional Supporting Documents {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }
Indicate your loss of income  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
When do you expect to recover your business? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Proof Documentation for the indicated loss {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
{ binding firstError.message }

The Reset Plan 

Your Reset Plan demonstrates how you will restructure your business to ensure that it will become an sustainable business.


 

What NEW Agricultural generating income activities will you introduce?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Additional Revenue Streams

Activity
Quantity 
Income
Activity {binding ItemNumber}
Activity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Quantity  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

What Farming Expenses will you reduce?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Farming Expense Reduction Measures

Item
Annual Cost 
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual Cost  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

What NEW Investments will you require for this Reset Plan?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Investment List

Item
Investment
Item {binding ItemNumber}
Item {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Investment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Attached a cash flow projection to demonstrate viability of the farming business with existing and new activities. 

Attach Cashflow Projection {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
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Interested in Agribank Support on your RESET PLAN? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Agribank Support on your Reset Plan

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If you are in good standing with Agribank or your Arrears Restructuring has first been approves, you can apply for a COVID-19 STIMULUS Package. Your Agribank branch will contact you with more information.

Interested in Agribank Technical Support? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If you are in good standing with Agribank or your Arrears Restructuring has first been approved, Agribank can provide a site visit to your farm and provide advice on the implementation of your Reset Plan. If selected, the Bank will make an appointment with you.

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Appointment 

Select your Agribank Branch {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Authorised Applicant Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Authorised Co-Applicant Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Application Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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