Loan Application HomeLoan Application Loan Application Form Apply for a loan with ease! This form helps us understand your needs. We’re committed to your data privacy and security; be assured that we will not share any of your personal information. Personal InformationFirst Name *Middle NameLast Name *Date of Birth *Gender *MaleFemaleHome Town & Region *Type of ID *Select IDNational IDPassportDriver LicenseNational ID Number *ID Date Issued *ID Expiry Date *Marital Status *SingleSingleMarriedDivorcedCohabitationPhone *Email Address *Residential DataResidential Address *Digital Address *0 / 11House Location *Landmark & Duration *Accommodation Type *OwnedRentedOtherEmployment / Business InformationEmployment Status *EmployedSelf-EmployedUnemployedStudentEmployer/Business Name *Monthly/Weekly Income *How much you earn monthly/weeklyBusiness Address (GPS Code) *Bank DataEnter your bank Details, All informations provided here will be kept secure and confidential.Name of Bank *Branch *Account Number *Account Name *Loan DetailsLoan Type *Select LoanPersonal LoanSalary LoanScheme LoanEduFundSchoolFlex FundSmart BuyAutoflex LoanVroom CashD LoanBusiness LoanProperty CashWork and PayLoan Amount *Payment Period *1 Month3 Months6 Months12 MonthsPurpose of Loan *Preferred Repayment Method *Bank TransferPost Dated ChequeMobile MoneyCashGuarantor InformationFirst Name *Middle NameLast Name *Relationship to Applicant *Guarantor Phone *Guarantor ID Number *Employment Status *EmployedSelf-EmployedUnemployedStudentResidential Address *Email AddressBusiness Phone *Business Address (GPS Address)Declaration & AgreementDeclaration *I declare that the information provided is true and complete.Agreement *I agree to the terms and conditions of the loan.SubmitSave as DraftPlease do not fill in this field.