With you in mind

1
Please verify that you are human* This field is required.
2
Employer Sector* This field is required.
GRZ
Private
MOU
Pre-approved
3
Financing Type* This field is required.
4
Select a supplier from the list below* This field is required.Ensure you provide the quotations
Carpt Arts
GC Solar
Kingsmen Exclusive Zambia Limited
Type option 4
Falcon Industries
5
Terms and Conditions* This field is required.This loan type requires that you get an approval before you can complete it. If there is no such approval, then contact or use different product
6
Client Type* This field is required.
New
Repeat
7
Collateral check * This field is required.
8
Recommendation Letter* This field is required.
9
Date* This field is required.
Date
Month
Day
Year
10
Name* This field is required.
Mr.
Mr.
Mrs.
Ms.
Last Name
Other Names
11
Birth Date* This field is required.
Date
Month
Day
Year
12
Phone Number* This field is required.
Area Code
Phone Number
13
Email(Ensure the email address is correct)* This field is required.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
14
Take Photo* This field is required.
15
Type of ID* This field is required.
Passport
Green NRC
16
NRC* This field is required.
17
Passport No.* This field is required.
18
Upload ID* This field is required.
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19
Home Address* This field is required.
Street Address
Street Address Line 2
City/Town
City / Province
Zip Code
Zambia
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
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Aruba
Australia
Austria
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Belgium
Belize
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Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
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Hong Kong
Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
20
Property Ownship* This field is required.
Owned
Rent
21
Upload Proof of Residency* This field is required.
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22
Marital Status* This field is required.
Single
Married
Widowed
Divorced
23
Spouse Name* This field is required.
Mr.
Mr.
Mrs.
Ms.
First Name
Last Name
24
Referee's Name* This field is required.
Mr.
Mr.
Mrs.
Ms.
First Name
Last Name
25
Spouse Phone Number* This field is required.
Area Code
Phone Number
26
Referees Phone Number* This field is required.
Area Code
Phone Number
27
Upload Recommendation Letter* This field is required.
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28
Name of Employer/Ministry* This field is required.
29
Position* This field is required.
30
Work Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
31
Years Employed* This field is required.
32
Monthly basic Income (As per Payslip)* This field is required.
in ZMW
33
Affordability
34
Monthly Net Income* This field is required.
in ZMW
35
Upload Latest Verified Payslip* This field is required.
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Max. file size: 10.6MB
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36
Bank Name* This field is required.
Please Select
Please Select
AB Bank Zambia Ltd
Absa Bank Zambia Plc (formerly Barclays)
Access Bank Zambia Ltd
Bank of China (Zambia) Ltd
Citibank Zambia Ltd
Ecobank Zambia Ltd
First Alliance Bank Zambia Ltd (FAB)
First Capital Bank Zambia Ltd (FCB)
First National Bank Zambia Ltd (FNB)
Indo‑Zambia Bank Ltd (IZB)
Investrust Bank Plc
Stanbic Bank Zambia Ltd
Standard Chartered Bank Zambia Plc
United Bank for Africa Zambia Ltd (UBA)
Zambia Industrial Commercial Bank Plc (ZICB)
Zambia National Commercial Bank Plc (Zanaco)
37
Bank Details* This field is required.
38
Account Type* This field is required.
Saving Account
Current Account
39
Upload Latest Verified 3 months bank statement* This field is required.
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Max. file size: 10.6MB
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40
Purpose of Personal Loan* This field is required.
Purchase of household asset
Purchase of office equipment
Person Use
Refinancing
Top-Up
41
Type Of a loan* This field is required.
Revolving
Term Loan
Gadget Finance
42
Upload Settlement statement * This field is required.
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Max. file size: 10.6MB
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43
Upload Quotation * This field is required.
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Max. file size: 10.6MB
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44
Existing Loans (All Existing loan should be included)* This field is required.
45
Existing Loan Amount* This field is required.
in ZMW
46
Requested Loan Amount* This field is required.
in ZMW
47
Terms in (months)* This field is required.
48
Interest
49
Interest 2 hp
50
Interest Personal
51
Due Amount
52
Due Amount hp
53
Due Amount hp
54
Repayment
55
Monthly Installment
56
Monthly due Installment
57
Monthly Repayment
58
Mode of disbursement* This field is required.
Bank
Mobile Money
59
Bank Details* This field is required.
60
Mobile Money Details* This field is required.
61
Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not loan is approved. You are authorized to check my
credit and employment history with the credit reference beurou and to answer questions about your credit experience with me.
62
Terms and Conditions* This field is required.
63
Applicant's Signature
Should be Empty: