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    Untu Microfinance Loan Application Form

    Uploaded by

    George
    loan application

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Untu Microfinance Loan Application Form

    Uploaded by

    George
    8 views4 pages
    loan application

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

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    loan application

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    8 views4 pages

    Untu Microfinance Loan Application Form

    Uploaded by

    George
    loan application

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    UNTU MICROFINANCE LOAN APPLICATION FORM

    Personal Information

    Full Name: I.D No.: Driver's License No.:

    Passport No.: Nationality: Country of Residence:

    Date of Birth:  e.g. YYYY/MM/DD (1990-11-02)

    Gender:
    Male Female

    Marital Status:
    Single Married Divorced Widowed
    Residential and Contact Information
    Cellphone:
    Home Tel: Work Tel:
    Period in yrs:

    Current Residential Address:


    Period in yrs:

    Previous Residential Address:

    E-mail Address:
    Other(Specify)
    Type of Accommodation:
    Owned No Mortgage Owned Mortgaged Rented

    If rented Landlord Name: Contact Numbers:


    Spouse Information
    Spouse
    Occupation:
    Spouse Name: I.D. No.:

    No. of
    Dependents:
    Employer: Spouse Contact no.:

    Dependants/Children
    Name Age School

    Next of Kin Details

    Name and Addresses of Next of Kin other than spouse

    Name: Relationship:
    Address: Contact No.:

    Name: Relationship:

    Address: Contact No.:


    Employment Details
    Contact No.:
    Current Employer Name:

    Current Residential Address:

    Date Engaged: Post:


    Net Monthly Income:
    Gross Monthly Income:

    Details of Previous Employer


    No. of years: Post:
    Name:

    Address: Contact No.:

    Gross monthly income: Net Monthly Income:


    Education Details
    Highest Level of Education

    Primary 'O' Level 'A' Level College/ University Other e.g. Boiler maker

    Have you received any business related training?


    Yes No

    Would you like get assistance with business training?


    Yes No
    Financial Requirements

    Amount Required (US$): Tenure (months):


    Security Offered:
    Purpose of Facility: Source of Repayment:
    Business Details

    Name of Company: Registration No.:

    Business Address:

    Time at current address: Years in business:

    Landlord Name: Landlord Contacts:


       
    Director’s name Address Contact No.
    Shareholder’s name Address Contact No. Shareholding %

    Banking Relationships
    Account Type:
    Bankers: Account No.:
    Account Type:
    Bankers: Account No.:
    Other Borrowings (Current and previous)
    Financial institution/Credit Store No. of loans Outstanding amount Account No.

    Trade References
    Trade References
    Contact No.:
    Company: Contact Name:
    Contact No.:
    Company: Contact Name:
    Guarantor information
    Occupation:
    Name in full: ID:

    Name of employer: Employer Address:

    Residential address:

    Cell/Home Tel: Work Tel:


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    Client Signature
    I   being duly authorized do hereby declare that the information given is true and correct, and that
    should any misinterpretations be contained herein UNTU Microfinance shall be entitled to immediate full repayment of
    the loan plus interest and charges without prejudice to any of its rights.

    Signed : Date : 

    Submit

    - See more at: http://www.untu-capital.com/apply-online.php#sthash.3dIKb5lH.dpuf

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