Loan Application Form
Fill the loan application form below to apply!
Applicant’s Details
Personal Details
Title (required)
Surname (required)
First Name (required)
Other Names
Date of Birth (required)
Tel. Nos. (required)
Alternative Tel. Nos.
Personal Email Address (required)
Residential Address (required)
Line 1
Line 2
Nearest Bus Stop (required)
LGA (of Residence) (required)
State (required)
Marital Status (required)
No. of Children
Educational Status (required)
Employment Status (required)
Sector (required)
Job Level
Job Function Title
Name of Employer/Address
Line 1
Line 2
Work Email Address
Current Pay Date (DD)
Current Net Monthly Income
Other Emoluments
Tax ID Number
Date Employed (DD/MM/YY)
If present employment is less than 1 year
Previous Employer
Duration Spent in the Previous Employment
Next of Kin (required)
Name (required)
Relationship (required)
Telephone (required)
Residential Address (required)
Line 1
Line 2
Email Address
Loan Information
Purpose of Loan (required)
Other Expenses (Please Specify)
Amount Required (N) (required)
Tenor (required)
Above N200,000, Specify Details
Repayment Source (required)
Preferred Repayment Structure (required)
Credit History
No. of Loans and Total Taken in the Last 12 Months
Current Outstanding
Account to be Credited
Account Name
Name of Bank
Branch
Account No.
BVN
Sort Code
Supporting Documents
All other documents not required at this stage must be submitted prior to disbursement
Bank statement for the last 6 months for borrower (required)
Bank statement for the last 6 months for Guarantor(s)
Passport photo
Letter of Indemnity
ID card for borrower (Driver’s license, Int’l Passport, Office ID)
ID card for Guarantor(s) (Driver’s license, Int’l Passport, Office ID)
Copy of Utility Bill of borrower
Proof of expected cashflows for repayment (Entrepreneurs only)
Incorporation documents (Entrepreneurs only)
How did you hear about us? (required)
I agree to the Terms and Conditions below.
Terms and Conditions