Title *
MrMrsMissMsDrOther

Gender *
MaleFemaleOther

Marital Status *
SingleMarriedSeparatedDivorcedWidowedOther

Surname *

First Name *

Other Names

Date of Birth *

Nationality *

Mobile Phone *

Email Address *

Residential Address (Not P.O. Box) *

Resident Type *
OwnedRentedStaying with FamilyOthers

Length of Time at Current Address *

Highest Educational Qualification *
FSLCSSCE / WAEC / NECOONDNCEHNDBSc / BAPGDMSc / MAMBAPhDOther

Mode of Identification *
NINDriver's LicenceInternational PassportVoter's CardOther

Identification Number *

Name of Spouse

Spouse’s Mobile Phone

Bank Verification Number (BVN) *

Loan Amount (₦) *

Loan Amount in Words *

Tenor (Months) *

Bank Account No. 1 *

Bank Account No. 2

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

Insurance Premium Amount (₦)

Premium Amount in Words

Equity Contribution (₦)

Job Title *

Staff ID No. *

Employee’s Name *

Office E-mail *

Office Address *

Industry *
Oil & GasManufacturingTransportationGovernmental ParastatalOther

Cadre / Level *

Number of Years in Current Employment *

Date of Employment *

Confirmed Status *
ConfirmedProbation

Annual Income (₦) *

Monthly Income (₦) *
Below ₦50,000₦50,000 – ₦99,999₦100,000 – ₦199,999₦200,000 – ₦299,999₦300,000 – ₦399,999₦400,000 – ₦499,999₦500,000 – ₦749,999₦750,000 – ₦999,999₦1,000,000 – ₦1,999,999₦2,000,000 and above

Terminal Benefits (₦)

Salary Due Date *

Name of Authorized Signatory (Employee) *

Authorization Date *

Employer Name (Signatory 1) *

Designation (Signatory 1) *

Authorized Signatory (Signatory 1) *

Date (Signatory 1) *

Official Stamp (Signatory 1)

Employer Name (Signatory 2)

Designation (Signatory 2)

Authorized Signatory (Signatory 2)

Date (Signatory 2)

Official Stamp (Signatory 2)

Bank / Organization (1)

Type of Facility (1)

Repayment Amount (1)

Repayment Frequency (1)
MonthlyQuarterlyBi-AnnuallyAnnually

Outstanding Balance (1)

Bank / Organization (2)

Type of Facility (2)

Repayment Amount (2)

Repayment Frequency (2)
MonthlyQuarterlyBi-AnnuallyAnnually

Outstanding Balance (2)

Bank / Organization (3)

Type of Facility (3)

Repayment Amount (3)

Repayment Frequency (3)
MonthlyQuarterlyBi-AnnuallyAnnually

Outstanding Balance (3)

Bank / Organization (4)

Type of Facility (4)

Repayment Amount (4)

Repayment Frequency (4)
MonthlyQuarterlyBi-AnnuallyAnnually

Outstanding Balance (4)

Corporate Account Opening Form (Required for Businesses)

Allowed: JPG, JPEG, PNG, PDF (Max: 2MB per file)

KYC Form (Completed with Business Details)

Allowed: JPG, JPEG, PNG, PDF (Max: 2MB per file)

Loan Application Letter *

Allowed: JPG, JPEG, PNG, PDF (Max: 2MB per file)

Proof of Address *

Utility bill (≤ 3 months) and rent receipt if applicable. Allowed: JPG, JPEG, PNG, PDF (Max: 1MB per file)

CAC Documents (Original & Photocopy – Multiple Files)

Allowed: JPG, JPEG, PNG, PDF (Multiple files, Max: 2MB per file)

Guarantor Forms (With Valid IDs & Proof of Income) *

Upload both guarantor forms. Allowed: JPG, JPEG, PNG, PDF (Max: 2MB per file)

Valid Means of Identification *

NIN, Passport, Driver’s Licence, etc. Allowed: JPG, JPEG, PNG, PDF (Max: 1MB per file)

Passport Photograph (Recent) *

Allowed: JPG, JPEG, PNG (Max: 1MB)

Salary Slips (For Salaried Borrowers)

Upload recent payslips. Allowed: JPG, JPEG, PNG, PDF (Max: 1MB per file)

Bank Statements (6–12 Months)

6–12 months statements. Allowed: JPG, JPEG, PNG, PDF (Max: 2MB per file)

Business Financial Records (For SMEs)

E.g. management accounts, audited statements. Allowed: JPG, JPEG, PNG, PDF (Max: 2MB per file)

Collateral Documents (For Secured Loans)

Title documents, valuations, etc. Allowed: JPG, JPEG, PNG, PDF (Max: 2MB per file)