Forms - MFI

Required Information:

Application Date:*

Section One - Contact Information

MFI Name:*

MFI Address:*

MFI Address line 2:

MFI Address line 3:

MFI Address line 4:

MFI Address line 5:

MFI Website URL:

Contact Person:

Email Address:*

Telephone:

Section Two - Loan Request

Requested Facility

Direct Loan
Guarantee

Requested Loan/Guarantee Amount (USD)

Preferred Funding Date

Section Three - Eligibility

An applying Microfinance Institution should comply with the following eligibility criteria:

1. Applying MFI currently serves at least 5,000 borrowers or has a minimum $1,000,000 gross loss portolio.

Date MFI Founded:

Number of Active Borrowers:

Outstanding loan portfolio (USD)

Average Loan Size (USD)

Lending Methodologies (village banking, solidarity group, individual, etc.):

2. Portfolio-at-Risk (i.e., outstanding balance of all loans with payment(s) in arrears beyond 30 days) cannot exceed 10%:

Portfolio at Risk >30 Days

3. Applying MFI agrees to provide independent audit reports covering at least the two most recent years

Yes
No

4. Applying MFI is able to submit a business plan with three years of financial projections.

Yes
No

5. Applying MFI can provide a credit rating report or other similar external evaluation or recommendation.

Yes
No

6. Applying MFI is operationally self-sufficient or will demonstrate a clear plan to achieve operational self-sufficiency.

Yes
No

7. Applying MFI has posted a financial and operational profile at the MIX Market, the internet clearinghouse for standardized information about the financial strength and performance of MFIs.

Yes
No

8. Applying MFI can verify that the requested loan will not exceed thirty-five percent (35%) of the MFI's total outstanding loan portfolio.

Yes
No

9. Applying MFI certifies that the above information is true and correct to the best of its knowledge as of the date of this application.

Yes
No

Section Four - Apply to Cooperating Lenders

Applying MFI would like MicroCredit Enterprises to forward its loan application to MicroCredit Enterprises' Cooperating Lenders. The Cooperating Lenders will independently consider a loan to the applying MFI. MicroCredit Enterprises does not guarantee that the Cooperating Lenders will offer a loan proposal to the applying MFI.

Applying MFI would like application forwarded to coorperating lenders as listed above.

Yes
No