Loan Application Form

Loan Application Form
Contact Information
Title:
Name

First NameLast Name
Birth Date

DayMonthYear
BVN
example: 000 000 000 00
Marital Status:
E-mail
example@example.com
Phone
example: 080 0000 0000Format: 000 0000 0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived in your given address?
Employment Information
Present Employer
Occupation
Years of experience
Work address
Gross monthly income
Do you have any current loan with us or any other entity?
Loan amount
Proposed tenor (in month)
Loan Type
Repayment Plan
Weekly repayment
Account name
Account number
Bank name
Alternative Bank Details
Account name
Account number
Bank name
Comments:
KINDLY ATTACHED PASSPORT, REGULATORY ID/ WORK ID, UTILITY BILL etc

Cancelof
Signature
I authorize prospective Credit Grantors/Lending/Leasing Companies to obtain personal and credit information about me from my employer and credit bureau, or credit reporting agency, any person who has or may have any financial dealing with me, or from any references I have provided. This information, as well as that provided by me in the application, will be referred to in connection with this lease and any other relationships we may establish from time to time. Any personal and credit information obtained may be disclosed from time to time to other lenders, credit bureaus or other credit reporting agencies. *
I hereby agree that the information given is true, accurate and complete as of the date of this application submission. *
Should be Empty:

Loan Application Form

Contact Information

Employment Information