LOAN APPLICATION FORM

SECTION A - LOAN APPLICATION DETAILS

Prefix

First Name *

Middle Name

Last Name *

Marital Status *

Date of Birth *

Nationality *

Phone *

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Resident Type *

Length of Time at Current Address *

Highest Educational Qualification *

Mode of Identification *

Identification Number *

Applicant's BVN

Name of Spouse *

Spouse Phone *

Part 2: Loan Request Details

Loan Amount (₦) *

Loan Amount in word (₦) *

Tenor(months) *

Bank Account No. 1 *

Part 3: Asset Loan/ Insurance Premium Financing Option

Would you like the Insurance Premium Finance Product as an additional facility *

Insurance Premium Amount

Amount in words

Equity Contribution

Part 4: Employee Information (To be completed by employee)

Job Title

Staff ID. No.

Employee’s Name

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Industry

Cadre/Level

Number of Years in Current Employment

Date of Employment

Confirmed Status

Annual Income (₦)

Monthly Income (₦)

Terminal Benefits (₦)

Salary Due Date

Part 5: Employee Authorization (To be completed by employee)

Applicant's Name *Inputting your name means you are in agreement with the statement above.

In consideration of a loan facility request by our employee to Creditude Global Services Ltd. Limited, we hereby confirm that all information provided by the applicant above is true. We undertake and covenant to (1) To domicile the salary account of the employee with Creditude Global Services Ltd. Limited or the entire duration of the facility. (2) To domicile with Creditude Global Services Ltd. Limited all monetary/terminal benefits due from us to the employee upon the employee ceasing to remain in our employment (3) To inform the bank within two (2) working days of resignation, or transfer or dismissal or termination of the employee. We agree that in the absence of a notification of resignation, transfer, dismissal or termination of the employee, the receipt by the Bank of the employee’s terminal benefits along with an advice regarding same shall suffice.

Name

Designation

Authorized Signatory

Part 7: Existing Facilities with Creditude Global Services Ltd. and other Lenders/Employers

SelectDo You Have Existing Facilities with Creditude Global Services Ltd. and other Lenders/Employers

If Yes, provide details below:

Declarations

You make the following declarations to us: The Loan is governed by this application form, and the Terms and conditions attached hereto. The acceptance of your application for a loan shall be at the discretion of the Bank and we shall not be obliged to provide reasons to you should your application not be accepted. If we accept your application, we will let you know in writing. 1. I am at least 21 years of age 2. I confirm that all the details given in this application are true and complete and I understand that these will be used to form the basis of any facility offered. 3. I authorize you to conduct any enquiry you consider necessary and appropriate for the purpose of evaluating this application from my/our employer, if any and from any other source to which you may apply including a credit search with one or more credit reference agencies, and confirm that I am not currently under administration, sequestration, debt review, or a restructuring order. 4. I accept that at any time before any facility offered to me is completed; Creditude Global Services Ltd. may withdraw, revise or cancel such offer. 5. I am aware that the rate of interest and monthly repayments of any variable rate facility granted may be varied from time to time. 6. I undertake to notify the Bank immediately in writing of any situation which materially changes the representation of this application, and I understand that the Bank may amend or withdraw any offer previously made. 7. I understand that Creditude Global Services Ltd. will disclose my details to any Creditude Global Services Ltd.'s insurers, auditors, professional advisers or any persons providing services to Creditude Global Services Ltd. who have agreed to treat my personal details as confidential, or if required to do so by law or any relevant regulatory body, as envisaged by this application form or with my written consent. 8. I acknowledge that Creditude Global Services Ltd. may at any time transfer Creditude Global Services Ltd.'s interest in the facility, together with any security I give, to any other lender, bank or institution, without first seeking my permission and I authorize Creditude Global Services Ltd. to disclose any information which Creditude Global Services Ltd. holds/ possesses about me to such entity. 9. I hereby authorise the Bank to disclose any and all information in respect of my account to the guarantors for as long as the guarantor's liability of the debt outstands. 10. I agree that by taking up all or part of any facility offered by Creditude Global Services Ltd. on the basis of the information provided on this application form and by signing this form, I agree to accept all the conditions set out in Creditude Global Services Ltd.'s facility offer letter. I agree that if I receive more than one letter, the letter showing the latest date will be that which applies. 11. I understand that the Bank may set of any amounts due under the agreement against any sums owing by me/us to Creditude Global Services Ltd. (whether jointly or severally) and otherwise combine and consolidate all or any of my/our accounts with Creditude Global Services Ltd. at any branch of the Bank and whether current, deposit, loan or any other nature and whether accounts in my name or jointly with others and whether in any other currency. Any currency conversions required to be effected by Creditude Global Services Ltd. in pursuant to this right shall be effected in accordance with the usual practice of the Bank. 12. I have personally completed this application form, or if completed by someone else, have read and checked every answer and I have appended my signature fully understanding the implication of the wordings and terms so contained. 13. I commit that this facility shall not be utilized for any acts of terrorism or other related acts. I hereby confirm my application for the above facility and certify that all information provided by me above and attached thereto is correct and complete. The facility shall not be utilized for any act of terrorism or other illegal or prohibited acts. I authorize you to make any enquiry you consider necessary and appropriate for the purpose of evaluating this application.

Name of Signatory *

Signature of Applicant *

Date *