CONSUMER FINANCE PRODUCTS

PERSONAL INFORMATION (please tick where appropriate)  

All *(asterisked) Fields are Mandatory!!!
Applicants Name: * * *
  Surname

 First Name

 Title
Residential Address:

 

 




Ownership of Residence:

 * Country *
State *
City*

 Phone area code* Phone*
Phone
Mobile*
 Email*
Permanent Home Address:

 

 



Ownership of Residence:
Country
State
City

 Phone area code
 Phone
Phone
Mobile
Date of Birth: *(e.g. year 1978)
Home phone: Mobile phone: 
Marital Status: *
Email Address:
Gender: *
No of Dependants: *
 

PROFESSIONAL INFORMATION
Educational Qualifications: *
Other Qualifications 

Employment Status: *  
Employment Type Business Telephone:
Name of Current Employer  
Constitution:  

Address of Current Employer

 

 


Ownership of Residence:
Country
State
City

 Phone area code
 Phone
Phone
Mobile
  
 
Employment Classification: Length of Service:* (Months)
Job Description *
Designation 
Income Type*    Frequency *   Total Amount*    Net income(%)*(eg. 54%)

Income Type      Frequency      Total Amount      Net income(%) (eg. 54%)
                                                                                                                                       (Please not that total income must add up to 100%)
Please note that incorrect information will render this application invalid  
 

CREDIT FACILITY REQUEST

Consumer Loan
Preferred Branch:   *  
Product Category:  *         
Product types        *  
Product Definition   *  
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