logo CFPMPortal

Loan Application Entry


PERSONAL INFORMATION


Customer:

BVN:

Title:*

First Name:*

Middle Name:

Last Name:*

Membership Type:
Date of Birth:*

Gender:*


Office Addr.

Resident Addr.

Phone No:*

Email:

Spouse:

Valid Identification

Nembership Form

Next of Kin

Relationship

NOK Address

NOK Phone:

Utility Bill:

Customer Alt. Phone:

GUARANTORS INFORMATION


Coop No:

Guarant 1 Name

Photo:

Telehone:

Email:

Home Address:

BVN:

Coop No:

Guarant 2 Name

Photo:

Telephone:

Email:

Home Address:

BVN:



LOAN INFORMATION


Loan Type:

Savings:

Loan Sector:

Reason for Loan:

Bank:


Account No:

Loan App. Form

Loan Amt:

Tenor:

Mthly Repayment

Disb. Method:

Verified BVN:

Verified Bank:

Verified Account: