LOAN APPLICATION

GET LOAN UP TO 10 MILLION NAIRA WITH EASE ,LOW INTEREST FEE AND LESS DOCUMENTATION,HASSLE FREE SERVICE

PLEASE PROVIDE ACCURATE AND UP-TO-DATE INFORMATION TO HELP US PROCESS YOUR REQUEST QUICKLY.

REGISTRATION FORM

YOUR EMAIL ADDRESS:

NAME IN FULL:

ADDRESS:

SEX:

MALE

FEMALE

DATE OF BIRTH (DD/MM/YYYY):

Your Bank account details is the account we would be crediting your Loan amount to

ACCOUNT NAME:

ACCOUNT NUMBER:

BANK NAME:

BANK VERIFICATION NUMBER (BVN) :

LOAN AMOUNT:

LOAN TENURE:

1 MONTH

2 MONTHS

3 MONTHS

6 MONTHS

12 MONTHS

TYPE OF LOAN:

PERSONAL LOAN

BUSINESS LOAN

PURPOSE OF LOAN

THE FOLLOWING DETAILS WILL BE USE TO LOGIN YOUR LOAN WALLET

CREATE USERNAME:

CREATE PASSWORD:

WHATSAPP NUMBER (COMPULSORY):

PHONE NUMBER: