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Farm to Factory Registration
Farm to Factory Registration Form
First Name
Last Name
Email
Phone Number (WhatsApp Preferred)
State of Residence
- Select -
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
FCT - Abuja
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Amount Paid
- Select -
₦50,000
₦100,000
₦150,000
Payment Date
Bank Name / Channel Used
Proof of Payment
Name on Payment / Depositor’s Name
Focus Area
- Select -
AI & Digital Skills
Food Processing
Both
What line of business are you engaged in?
Agriculture
Food Processing/Manufacturing
International Trade/Export
Fashion and Beauty
Cosmetics
Other
Other (please specify)
Is your business registered?
Yes
No
If Yes, what is the Business name....... - CAC Registration Number BN or RC....
Age
State Of Origin
CAC Registeration Number
If Your Business Is Not Yet Registered With CAC Do You Intend Registering In The Next 12 Months
Yes
No
Do you need business loan?
Yes
No
If yes what type of loan do you need?
Agribusiness Loan
Processing/Manufacturing loan
Export finance Loan
Dropdown
- Select -
1m - 5 million
5m -20million
20m - 50million
50m - 100 million
100m - 250 million
250m - 500million
500m and above
Emergency Contact Name
Emergency Contact Phone
Declarations
I confirm I have made payment to Gracefm Seda Services Ltd and details are correct.
I agree my registration may be verified before final approval.
Complete Registration
