FMK Empowerment Program

Your details

Full name *

Phone number *

Phone number again *

State *

LGA (Local Government Area) *

Do you have a smartphone? *

We may use WhatsApp or app-based tools to support you.

YesNo

Someone who knows you well and can confirm your character. We may contact them.

Guarantor full name *

Relationship to you *

Occupation *

Guarantor phone number *

Residential address *

Upload a short video or record one here. Aim for about 30 seconds. A video is required to submit this form.

Choose a video file

MP4, WebM, or other common formats. Keep it roughly under 30 seconds if you can.

Written introduction

Optional. Your video above is the main introduction.

Do you have the energy to market your products? *

YesNo

Do you have experience selling goods online? *

YesNo

What type of goods do you have or sell? *

If you receive support or a loan, are you ready to focus on the textile business only? *

We want to understand if you can commit to textile as your main line.

YesNo

If needed for the program, would you be willing to open a bank account with Jaiz Bank? *

Jaiz Bank is a Nigerian non-interest (Islamic) bank. Choosing Yes does not open an account by itself.

YesNo