Online Loan Application

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Online Loan Application Form

(*) Required fields

Fullname(*)

Only alphabetical values are accepted

Home Address(*)

Invalid Input

Phone(*)

Invalid Input

Email(*)

Invalid Input

DOB(*)

Invalid Input

Number of Dependent(*)

Invalid Input (eg. 0)

Address of Nearest Relative(*)

Invalid Input

Name of Spouse

Only alphabetical values are accepted

Name of Nearest Relative(*)

Only alphabetical values are accepted

Income Information

Employed By(*)

Invalid Input

How Long(Years) ?(*)

Value should be between 1-40

Position(*)

Invalid Input

Work Address(*)

Invalid Input

Phone(*)

Invalid Input 876-123-4567

* Monthly/Weekly Salary(*)

Invalid Input

Other Income

Invalid Input

Loan Information

Total Loan

Invalid Input

Present Loan Balance

Invalid Input

Cash Now Required(*)

Invalid Input

Sum of the Loan

Invalid Input

Loan Period

Invalid Input

Loan Purpose(*)

Invalid Input

SUPPORTING DOCUMENTS

Invalid Input

Type of Security

Invalid Input

Deposits

Invalid Input

Others(*)

Invalid Input

Motor Vehicle

Vehicle Make(*)

Invalid Input

Vehicle Model(*)

Invalid Input

Vehicle description(*)

Invalid Input

Landed Security

State Volume(*)

Invalid Input

State Folio(*)

Invalid Input

Land Description(*)

Invalid Input

Comaker 1

Name of Comaker

Only alphabetical values are acceptable

Home Address

Invalid Input

Phone

Invalid Input 876-123-5467

Employed By

Invalid Input

Work Address

Invalid Input

Comaker Employment Period

Invalid Input

Position

Invalid Input

*Monthly/Weekly Salary

Invalid Input

Other Income, annual

Invalid Input

Source

Invalid Input

Number of Dependent

Invalid Input

Spouse Name

Only alphabetical values are accepted

If employed, Monthly Salary

Invalid Input

Real Estate Owned, Market Value

Invalid Input

Location

Invalid Input

If mortgaged, state the amount

Invalid Input

Holder

Invalid Input

Comaker 2

Co-Maker Name

Only alphabetical values are accepted

Address

Invalid Input

Phone

Invalid Input eg. 876-123-4567

Employed By

Invalid Input

Employer Address

Invalid Input

Employment Period (Years)

Invalid Input

Position

Invalid Input

Salary

Invalid Input

Other income

Invalid Input

Source of Income

Invalid Input

Number of dependent

Invalid Input

Spouse name

Invalid Input

Spouse Monthly Salary

Invalid Input

Real Estate Owned, Market Value

Invalid Input

Land Location

Invalid Input

Mortgage

Invalid Input

Mortgage Holder

Invalid Input

Comaker 3

Fullname

Only alphabetical values are accepted.

Address

Invalid Input

Phone

Invalid Input eg.876-123-4567

Employer

Invalid Input

Employer Address

Invalid Input

Employment Period

Invalid Input

Position

Invalid Input

Salary

Invalid Input

Other Income

Invalid Input

Source of income

Invalid Input

Number of Dependent

Invalid Input

Spouse name

Invalid Input

Spouse monthly salary

Invalid Input

Land/Market Value

Invalid Input

Land Location

Invalid Input

Mortgage

Invalid Input

Mortgage holder

Invalid Input

If spouse is employed, state

Employed By

Invalid Input

How Long?

Invalid Input

Salary

Invalid Input

Address

Invalid Input

Phone

Invalid Input eg. 876-123-4567

Real Estate Information

Location of Property

Invalid Input

Land Valuation

Invalid Input

Valuator

Invalid Input

Amount of Mortgage

Invalid Input

Monthly Payment

Invalid Input

Mortgage Holder

Invalid Input

Monthly Rental(If renting)

Invalid Input

Automobile Information

Model of Car

Invalid Input

Make

Invalid Input

Value of the Car

Invalid Input

Car Valuator

Invalid Input

If on hire purchase, list below:

CREDIT OBLIGATIONS INCLUDING HIRE PURCHASE. List all debts below and attach additional sheet if necessary.

Name of Creditor

Address

Monthly Payments

Balance Owing

Invalid Input

Only alphabetical values are accepted.

Invalid Input