Personal Loan Application Form

Step 1 of 8

PERSONAL INFORMATION

Full Name*

Prefix First Last

Gender*

Date of Birth*

Place of Birth*

Nationality*

National ID NO*

Marital Status*

Educational Level*

EMPLOYMENT HISTORY

Name of Current Employer

Employer's Tel No

Duration of Employment

Employment Title

Employment Status

Gross Annual Salary

Other Sources of Income

Previous Employer's Name

Town Located

Address Of Employer

Street Address City State / Province / Region Country

RESIDENTIAL AND CONTACT DETAILS

Main Residential Address

Street Address City State / Province / Region Country

Cell /Business Tel No

HOME Tel NO

Email Address

Owner / lodger

Period of Residence

If time at current address is less than 5 years, please provide previous address

less than 5 years

greater than 5 years

Previous Address

Street Address City State / Province / Region Country

If lodging, name of owner

Cell/Home Tel NO

Secondary Address

Address

Street Address City State / Province / Region Country

Rural Home

Headman

Address of nearest rural home school

Street Address City State / Province / Region Country

GUARANTOR

Name in full

Prefix First Last

National ID

Occupation

Name of Employer

Town Located

Cell / Home Tel

Work Tel

Email Address

Physical Residential Address

Street Address City State / Province / Region Country

Postal Address

Same as residential

Different Postal Address

Postal Address

Street Address City State / Province / Region Country

Next of Kin (other than spouse and not residing at the same residential address as applicant)

Name in full

Prefix First Last

Physical Address

Street Address City State / Province / Region Country

Phone Number

Name of employer

Employer's Tel Number

Relationship

Add another Next of Kin

Yes

Name in full

Prefix First Last

Physical Address

Street Address City State / Province / Region Country

Phone Number

Name of employer

Employer's Tel Number

Relationship

Email Address

SPOUSE'S DETAILS

Full Name

Prefix First Last

Name of Employer

Employer's Tel NO

Job Title

Email Address

Address of Employer

Street Address City State / Province / Region Country

DEPENDANTS

Number of Children

Number of Other Dependants

Children's & Dependants Schools

Name of School

Grade/Form

Town

Name of School

Grade/Form

Town

Name of School

Grade/Form

Town

Contact Us

PERSONAL INFORMATION

EMPLOYMENT HISTORY

RESIDENTIAL AND CONTACT DETAILS

Secondary Address

GUARANTOR

Next of Kin (other than spouse and not residing at the same residential address as applicant)

SPOUSE'S DETAILS

DEPENDANTS

Children's & Dependants Schools

LOAN DETAILS

SECURITY OFFERED

INDEBTEDNESS TO OTHER ORGANISATIONS

BANK DETAILS

DECLARATION

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