-Loan Application-

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First Name 
Middle Name
Surname
I hereby apply for a loan of: $
For a period of months to be repaid in: forthnightly
  years monthly
installments of $ including interest at % on the unpaid balance, the first payment to
fall due on Loan Type Ordinary Demand Unsecured Mortgage
I desire this loan for the following purpose (explain fully)
Employer (Include Dept.)
SECURITY: VALUE:
Shares $
Fixed Deposit $
Units $
CSV/Insurance $
Other $
Address
Position    
Employment Status  Temporary Contract Permanent
Basic Salary $ Other Income $
Tel Nos.
Home Work Cell Other
ID/DP/Passport Number   Spouse Name
CREDIT OBLIGATION/S (Including Hire Purchase) List all debts using additional sheets if necessary)
NAME OF CREDITOR/S
ADDRESS
AMOUNT OWING
MONTHLY PAYMENTS
$
$
$
$
$
$
I am not indebted to any other Credit Union, Bank or Loan Agency, either as maker or endorser, except as stated above. The statements herein are made for the purpose of obtaining the Loan and are true and correct to the best of my knowledge and belief
Home Address of Applicant Date
       
 
   
 
       
       
© 2003 U.W.I. Credit Union Co-operative Society Ltd.

 

 


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