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Loan Application

Loan Application

You are applying to borrow for from .

Enter your details below to complete the applicaton. Required fields are marked with an asterisk

Personal Details

You must provide your personal details

Full name
Email address
Telephone number
Date of Birth
ID Number
Marital Status
Number of dependants
Preferred time of call (if needed)

Loan Details

Loan Amount
Loan Term
Purpose of loan
How do you intend to pay this loan?


Enter your current address and previous address if you have lived there for less than one year.

Building Name
House/Flat number and road
Type of Residence
Time at Residence
Previous Building Name
Previous House/Flat number and road
Previous Town
Previous Postcode
Type of Residence
Time at Residence


Please provide details of your expenditure

Estimated monthly cost of Food and Groceries
Estimated monthly cost of recreation
Existing loan repayments
Other Bills
Enter the monthly amount

Employment and Income

Please provide details of your employment and income

Company Name
Name of Employer
Job title
Monthly Net Income
Time in this employment
Is your income paid directly into your bank account?
Select additional income sources

Bank Details

Additional income details in applicable

Bank Name
Account Number
Sort Code
IBAN Number
SWIFT Number

Document Upload

Your banking details are required to set up loan repayments

Proof of identity document
Proof of address document


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