LOAN APPLICATION FORM

Be complete and accurate

Complete all sections. Incomplete fields will be returned without processing. If a question or a section does not apply to you, write “Not Applicable” or “NA”. Kindly write/encode your details in CAPITAL letters.

BORROWER PRIMARY INFORMATION

COMPLETE NAME

EMAIL ADDRESS

CONTACT NUMBER

MARITAL STATUS

GENDER

COUNTRY OF RESIDENCE

COUNTRY OF CITIZENSHIP

DATE OF BIRTH

NUMBER OF DEPENDENTS

CURRENT EMPLOYMENT DETAILS

EMPLOYER

WORK ADDRESS

WORK PHONE NUMBER

PERSON TO CONTACT

YEARS EMPLOYED

OTHER SOURCE OF INCOME

LIST DOWN YOUR SOURCE OF INCOME

BANK REFERRENCES (For postdated cheque)

Institution/Bank Name

Checking Account Name

Branch

Name of account co-owner (parents of the applicant)

GUARANTOR INFORMATION (If you have)

Guarantor’s Name

Relationship to the applicant

Guarantor’s Current Address

Guarantor’s Phone

Guarantor’s Email

Guarantor’s source of Income:

PROTECTION OF PERSONAL INFORMATION

Your personal information is confidential and will not be disclosed without your consent unless explicitly authorized by you.

LIST OF REQUIREMENTS FOR LOAN APPROVAL APPLICATION

DECLARATION

In support of my loan application, I understand that the interest rate is 2.89 per month payable in a 1-year contract, and 6.99 interest for an open loan application per month A fee of $500 + tax upon applying for the loan. And also, the above information is true to the best of my knowledge. I understand that if any of the information I have provided proves to be false, it will lead to the automatic decline of my application. In connection with this loan application, making such inquiries about my affair as it deems fits. I will also be available for further discussion upon request.

1. 2 pcs. Government ID

2. Post Dated Cheque

3. Notice of Assessment

4. 3 months Latest Bank Statement

5. 2 Referrer / Cosigner's Information

Complete Name
Complete Address
Phone Number
Email Address

Your Signature