Loan Booking Entry




BVN:*

Title:*

First Name:*

Middle Name:

Last Name:*

Date of Birth:*

Gender:*


Resident Addr.

Phone No:*

Email:

Spouse:


Loan App. Form

Valid Identification

Valid Employee Id

Next of Kin

Relationship

NOK Address

NOK Phone:

Utility Bill:

Customer Alt. Phone:


Employment Status:

Employer:*

Employer State:*

Employee ID:*
 
Employer Email:

Upload 6 months Salary Statement

Date Employed:


Grade Level


Phone No:



Loan Type:

Mthly Net Income:

Loan Sector:

Reason for Loan:

Bank:


Account No:

Loan Amt:

Tenor:

Pay Method:

Verified BVN:

Verified Bank:

Verified Account: