Name of applicant Company’s name Company’s address Incorporation number & Date Is the company a limited liability company? If NOT state otherwise ----Yes If NOT state otherwise LGA & State Designation of applicant Mobile number Cooperative Group How long have you been in poultry business In which aspect(s) of poultry business do you specialize? Tick appropriately Hatchery Feed Mill Table Egg Broiler chickens Drug & Vaccines Consultancy Others (please specify) State your production capacity Do you have holding facilities for the required inputs/raw materials (feeds, drugs and vaccines) Have you engaged in any other business (es) aside poultry? If YES, for how long What are your major products What is your current customer base Who are your major clients or customers What is the current staff strength of your company (skilled to unskilled) Describe your current distribution network across the state What is the average price of the following inputs/outputs in the state Day Old Chick Broiler Feed Pullet pre-lay Maize Chick Mash Layer Mash Soybean meal Pullet grower mash Table eggs What is the current level of table egg production in the state What is the current level of chicken meats production in the state What is the population range of active poultry farmers/farms in the state How many of these farmers are producing table eggs and how many are producing broiler chickens In your own estimate, what is the average daily table eggs production in the state Also, what is the average daily chicken meat production (tons/kg) in the state What is the prospect of poultry business in the state in the nearest future Has your company ever been involved in any business relationship with the government of the state ----YesNo If YES, what is the duration of this relationship Kindly provide more information on the outcome of this relationship What is your current working capital Do you have the financial reserves to jump start requirements for this program What is your knowledge of product pricing and factors influencing it What is your knowledge of product pricing and factors influencing it Do you have costing model(s) for your operations, if YES provide give a brief explanation Does your company have any loan facility it’s currently servicing with bank(s) Yes No If YES, state the bank(s) If YES, state the bank(s) What is the size of the loan facility (ies) your company is currently servicing Kindly provide information on your profit margin for the last 5years Do you have any non-performing loan facility (ies) with any bank(s) QUESTIONNAIRE FOR INTENDING STATE ENTREPRENEURS
