APPLY FOR LOAN

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LOAN APPLICATION FORM

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AMOUNT OF LOAN REQUEST

PURPOSE OF THE LOAN

TENOR

SOURCE OF REPAYMENT

NUMBER OF INSTALLMENTS

PERSONAL DATA

NAME IN FULL

PHONE NUMBER

EMAIL ADDRESS

CONTACT ADDRESS

NEXT OF KIN DETAILS

NAME IN FULL (NEXT OF KIN)

PHONE NUMBER (NEXT OF KIN)

EMAIL ADDRESS (NEXT OF KIN)

CONTACT ADDRESS (NEXT OF KIN)

MARITAL STATUS

MARITAL STATUS

MARRIED

SINGLE

Divorced/Separated

IN MARRIED ENTER YOUR SPOUSE DETAILS

SPOUSE DETAILS: name, phone number, email, contact address

INCOME DETAILS

OCCUPATION

MONTHLY INCOME

NAME OF EMPLOYER

COLLATERAL DETAILS

NAME OF COLLATERAL

ENTER SPECIFIC NAME E.G. 4 BEDROOM BUNGALOW

VALUE OF THE COLLATERAL

DETAILS/CONTACT OF THE COLLATERAL

Terms and Conditions

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