PERSONAL INFORMATION
Date of Birth:
Gender:
—Please choose an option—MaleFemale
Marital Status:
—Please choose an option—SingleMarriedDivorcedWidowedSeparated
EMPLOYMENT & INCOME DETAILS
Employment Type:
—Please choose an option—PermanentContract
Level:
—Please choose an option—Junior StaffMiddle LevelSenior ManagementExecutive Management
SPOUSE & NEXT OF KIN DETAILS
FACILITY INFORMATION
BANK ACCOUNT DETAILS
—Please choose an option—SavingsCurrentOthers
DETAILS OF EXISTING FACILITIES
i. With Covenant Microfinance Bank
Date Granted:
i. With Other Banks
BORROWER'S DECLARATION
I/We agree and declare on behalf of
THAT:
The information provided in this application is complete and correct in all respects.
You may inquire about me/us with any third party including an employer, another bank, credit bureau or agency as it relates to this facility.
The approval based on this application is at the Bank's sole discretion.
The facility shall be used for the purpose specified and shall be subject to terms and conditions provided by the bank.
I shall abide by it including the amendments thereto from time to time at the sole discretion of the bank.
All costs associated with the processing of this loan application shall be on my/our account.
You may debit my/our Account with you to recover outstanding interest cost and expenses.
I/We have no borrowing arrangements with any bank except as indicated in this application.
You may exchange my credit information with credit bureaux.
Select the Box below for Digital Signing
Type the Security Code:
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