Personal Loan - Addosser Finance

Personal

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First Name *

Last Name *

Other Name

Date of Birth *

Phone Number *

Marital Status

Bank Verification Number *

Email Address *

Gender

Residential Address *

Select State *

Select LGA *

Country

Nearest Bus-stop/ Landmark

Next of Kin

Full Name *

Phone Number *

Relationship *

Residentail Address *

Employment Details

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Employer's Name *

Office Address *

Official E-mail Address *

Date of Employment *

Length of Service

Date of Confirmation

Department/Unit

Grad/Level

Monthly Income *

Loan Details

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Loan Amount *

Loan Category *

Tenor *

Salary Payment Date *

Bank *

Account Name *

Account No. *

Other Loan Repayment

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Passport

ID Card

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Password *

Confirm Password *

I hereby declare that all information provided in this application are correct and that all copies of documents I will submit are authentic. I understand that Addosser Finance will verify the information supplied. I therefore agree that any material misstatement/falsification of information discovered renders my application null and void.