Loan Application Form

Applicant Information

Full Name:

Date of Birth:

National Identification Number (NIN):

Address:

Phone Number:

Email Address:

Loan Details

Loan Amount Requested (₦):

Loan Purpose:

Repayment Term:

Monthly Income (₦):

Employment Information

Employer Name:

Job Title:

Employer Address:

Length of Employment:

Monthly Salary (₦):

Collateral Information

Type of Collateral:

Description of Collateral:

Estimated Value of Collateral (₦):

Location of Collateral:

Additional Information

Existing Debts:

References:

Declaration

I hereby certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false or misleading information may result in the rejection of my application and possible legal action.

Signature:

Date:

Supporting Documents Required

Upload Documents: