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FINCA Account Number0 / 10

BVN *0 / 12

Bio-Data

Customer Name *

Home Address *

Telephone Number *

Telephone Number #2

Email Address *All documents will be sent through this email, please make sure your email is correct.

Loan Proposal

Requested Amount (₦) *

Tenor (Number of month) *

Loan Purpose *

Cost of Investment *

loan Type *

Other bank accounts

#1 - Name of Bank

Currency *

Type of accounts

#2 - Name of Bank

Currency *

Type of accounts

Credit history: (With Other Bank)

#1 - Name of Bank

Amount

Interest rate % p.m.

Date Applied

Maturity

Balance

#2 - Name of Bank

Amount

Interest rate % p.m.

Date Applied

Maturity

Balance

BUSINESS INFORMATION

You have been in this type of business since

You have been in this business location since *

Business premises ownership *OwnRent

Shop/ Business Address *

Type of Business *

Daily sales amount *

Monthly purchases amount *

How much is your business worth *

GUARANTOR INFORMATION

Name *

Phone Number *

Business Type

Business Address

Next of kin *

Contact *

Relationship *

Declaration *The applicant declares that the information above is true and complete. S/he agrees that the Customer Relationship Officer or Supervisor shall visit his/her business and residence in order to carry-out the loan assessment. S/he will give all required information for this purpose. Moreover, the Applicant explicitly agrees that FINCA Microfinace Bank Limited shall inquire with third parties information about the Applicant, if it is considered important by the Bank for the final decision of the present loan application including to relevant Credit Reference Bureau. The Applicant understands that the signature under this loan application does not guarantee reception of a loan. The Applicant hereby authorizes FINCA Microfinance Bank Limited to check and provide credit references from Credit Bureau in respect of any statement of facts contained in this application, to record, retain and disclose to its members details of any such searches and of any transaction which may result therefrom and to process and retain data provided therein.

Applicant’s Full name *