Sokoto State Small and Medium Enterprises Development Agency (SOSMEDA)

Business Registration Form

Name:

Passport Photo: Click to upload photo

Date of Birth (DOB):

Sex:

State of Origin:

Address:

GSM (Phone Number):

Email Address:

Business Name:

Business Address:

Business Sector:

State of Business:

Business Activities:

Business Status:

Start-up Existing

Business Ownership:

Sole-ownership Partnership Cooperative

Type of Business Registration:

Business name Limited Liability Cooperative Society

Year of Business Operation:

Small (CAC) Micro (Cooperative) Micro (Individual) Nano (Cooperative) Nano (Individual) NGO's Association (Cooperative)

Referee 1 Name: Address: GSM (Phone Number):

Referee 2 Name: Address: GSM (Phone Number):