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SALARY LOAN
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
BVN
*
Your answer
Date Of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Educational Status
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Primary
Secondary
Graduate
Post Graduate
Purpose Of Loan
*
Portable Goods
Travel/Holiday
Medical
House Maintenance
Rent
School Fees
Wedding/Events
Others
Do You Have An Existing Loan
*
Yes
No
Means Of Identification
*
International Passport
Voters Card
National ID Card
Drivers License
Others
Document Number
*
Your answer
Personal Phone Number
*
Your answer
Office Number
*
Your answer
Email Address
*
Your answer
Official Email Address
Your answer
Home Address
*
Your answer
Landmark/Nearest Bus Stop
*
Your answer
LGA (of Residence)
*
Your answer
Are you a tenant or a landlord?
*
Yes
No
When is your rent due
*
MM
/
DD
/
YYYY
Next of kin
*
Your answer
Address (next of kin)
*
Your answer
Phone number (next of kin)
*
Your answer
Office Address
*
Your answer
Landmark/Nearest Bus Stop (office)
*
Your answer
LGA (office)
*
Your answer
State (office)
*
Your answer
Employers Number
*
Your answer
Employers Work Email
*
Your answer
Staff ID Number
Your answer
Position/Job Title at Workplace
*
Your answer
Dept. & Unit of Workplace
*
Your answer
Date Employed
*
MM
/
DD
/
YYYY
Guarantors Name
*
Your answer
Guarantors Employer
*
Your answer
Guarantors Home Address
*
Your answer
Guarantors Mobile Number
*
Your answer
2nd Guarantors Name
*
Your answer
2nd Guarantors Employer
*
Your answer
2nd Guarantors Home Address
*
Your answer
2nd Guarantors Mobile Number
Your answer
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Number of Children
*
Your answer
Number of Dependants
*
Your answer
Current Employer
*
Your answer
Current Net monthly Income (Naira)
*
Your answer
Current Pay Date
*
MM
/
DD
/
YYYY
Loan Amount Requested (Naira)
*
Your answer
Loan Tenure
*
1 Month
2 Months
3 Months
4 Months
5 Months
6 Months
Which Bank Will You Like To Receive Your Money?
*
Your answer
Account Name
*
Your answer
Account Number
*
Your answer
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