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Application Form

Investors Application Form

For more information, contact us via email. We will contact you as soon as possible.

Title

Surname

First Name

Middle Names

State of Origin

Local Government

Town

Present Resident Address

City

State

Nationality

Marital Status

Email address

Personal Phone Number

Means of Identification

National ID no.

Surname (next of kin)

First Name (next of kin)

Phone Number (next to kin)

Relationship

Identification for Arable Crops

1 Hectare

2 Hectares

3 Hectares

4 Hectares

5 Hectares

6 Hectares

7 Hectares

8 Hectares

9 Hectares

10 Hectares

Choose minimum amount 1 hectare

Choose minimum amount 2 hectares

Choose minimum amount 3 hectares

Choose minimum amount 4 hectares

Choose minimum amount 5 hectares

Choose minimum amount 6 hectares

Choose minimum amount 7 hectares

Choose minimum amount 8 hectares

Choose minimum amount 9 hectares

Choose minimum amount 10 hectares

Choose Type of Cashcrops

Cashew

Coconut

Palm tree

Plantain

Ginger

Castor tree

Others

Identification for Cash Crops

1 Hectare

2 Hectare

3 Hectare

4 Hectare

5 Hectare

Identification Exportation Cash Crops (minimum investment amount)

Identification Warehousing/Storage Facilities (minimum investment amount)

Identification for Agricultural Haulage/Transportation (minimum investment amount)

Identification for Cold-Room Facilities (minimum investment amount)

Identification for Processing/Value Addition (minimum investment amount)

Identification for Agricultural Input Management (minimum investment amount)

Do you have Agricultural Land Available and Accessible for Partnership

The Zone of your Investment Interest

Zone South South

Zone South East

Zone South West

Zone North East

Zone North West

Zone North Centre

States

Rivers

Cross Rivers

Edo

Delta

Bayelsa

Akwa Ibom

Enugu

Imo

Ebonyi

Abia

Anambra

Ekiti

Lagos

Ogun

Ondo

Osun

Oyo

Adamawa

Bauchi

Borno

Gombe

Taraba

Yobe

Jigawa

Kaduna

Kano

Kastina

Kebbi

Sokoto

Zamfara

Benue

Kogi

Kwara

Nasawara

Niger

Plateau

FCT

Application/Registration Fee

DECLARATION

I Declare that all information given are correct & agree to abide by the rules and regulations of Integrated Clustered Farmers Investments Ltd.

I agree that registration/application fee are non refundable.

I agree that intended to withdrawn from investment before the maturity age will be at 30% of investment value!

Signature Name

Date

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Passport Photograph (white background)

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Dear Investor,

Thank you for your application.

We gracefully extend our sincere gratitude for your willingness to become a partner of our venture.

We will soon get back to discuss the further detaiis on your investment.

Sincerelly yours,

Integrated Clustered Farmers Investments Limited.

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NOTE: INTENDED TO WITHDRAWN FROM INVESTMENT BEFORE THE MATURITY AGE WILL BE AT 30% OF INVESTMENT VALUE!

NORTHERN OFFICE ADDRESS

+234 8144740715

Bamaiyi Chamber No. 37A, Opposite Nipco Petrol Station, Kachia Road Before The Bridge Sabo, Kaduna

Certificate of Incorporation no: RC 1698181

SOUTHERN OFFICE ADDRESS

+234 8144740715

office@clusteredfarmers.com

No 17, A&B Ifesowapo Street,
1st Gate km 45 New Ibadan Road, Ogbomoso Express Way, Oroki Atiba Local Govt. Area Oyo Town.

Certificate of Incorporation no: RC 1698181

INTERNATIONAL OFFICE ADDRESS

+31 (6) 25396142

C/O Stichting Nigeria Trade Centre, Flamingo 10

3435 XG Nieuwegein, The Netherlands

Netherlands Chamber of Commerce number: KvK 850718934

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