Loan Application Form
Applicant's Name
First Name
Last Name
Membership Number
Loan Amount
*
Loan Tenor (in months)
*
Repayment Date (For more than 1 month, input date of first repayment)
-
Month
-
Day
Year
Date
Guarantor 1
Name
First Name
Last Name
Membership Number
Guarantor 2
Name
First Name
Last Name
Membership Number
Signature
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Should be Empty: