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


Account No.


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