Loan Application Form

Please complete ALL sections of the form in BLOCK CAPITALS. Note: This is an application for a loan, it does not guarantee approval.

Form Sections

Personal Information

Title *

Surname *

First Name *

Other Names

Sex *

Date of Birth *

Mother's Maiden Name *

Nationality *

State *

LGA *

Residential Address *

Nearest Bus Stop

Landmark

Official Email Address

Personal Email Address

Phone Numbers *

Identity Type *

Specify Identity Type *

ID Issue Date

ID Expiry Date

ID Number *

BVN *

Next of Kin

Next of Kin's Full Name *

Relationship *

Address *

Mobile Number *

Date of Birth

Business / Employer Information

Business / Employer Name *

Business / Office Address *

Nearest Bus Stop

Landmark

Position / Job Role *

Work ID

Banking Information

Account Name *

Bank Name *

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Account Number *

Loan Information

Loan Amount Requested (Figures) *

Purpose of Loan *

Type of Loan *

Repayment Period (Months) *

Mode of Repayment *

Declaration

I declare that the information provided in this application is true and correct to the best of my knowledge. I understand that providing false information may lead to the rejection of my application or termination of any loan facility granted. I authorize Credit Stars Limited to verify the information provided and to obtain reports from approved credit bureaus. I agree to repay all loan amounts and charges due, and understand I am personally liable. *

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