LOAN APPLICATION
Information About The Applicant
Name of applicant
Email Address
Sex
Male
Female
Identification No
Mobile phone number
Postal Address
Residential Address
Type of ID
Identification Card
Passport
Driver's Licence
Document No
Pay Date
Employment Information
Name of Employer
Address of Employer
Occupation
Monthly Net Salary (N$)
Date of Employment
Employer phone number
Supervisor Name
Email Address
Marital Status
Married in communiity of property
Married out of community of property
Single
Next Of Kin Details
Name
Surname
Phone Number
Realationship Status
Name
Surname
Phone Number
Realationship Status
Bank Details
Bank Name
Bank Account Number
Bank Branch
Bank Account Type:
Upload Documents
Front Side ID
Back Side ID
Latest payslip
Three Month Bank Statement of the Bank Account into which your income is paid into.
Proof of Employment
Hereby, the undersigned acknowledge the following:
I confirm that the information provided above is true and correct.
I undertake to comply with all requests for my information or documentation from the microlender to assist them in evaluating my state of indebtedness.
I hereby consent to the submission of my information to registered credit bureaus by the microlender.
I consent that the microlender may obtain my credit record from any/all registered credit bureaus and any other person or institution.
I confirm that the information disclosed to the microlender for the purpose of the affordability assessment is to the best of my knowledge, true and correct.
I confirm that the microlender has explained the purpose of the affordability assessment to me in a language that I understand.
Agreement
I agree to Terms & Conditions of Indongo Cash Loan.
Submit
Name
Email
Message
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