Personal Loan Application Requirements Template Page 2
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1
2CUSTOMER LOAN DETAILS
STATEMENT OF POSITION
PLEASE COMPLETE NEATLY BY HAND AND PRESENT TO ANY BRANCH
ASSETS - WHAT YOU OWN
OF BANK SOUTH PACIFIC
Value of Home
K ___________________
Purchase Price K __________________ Own Contribution K___________________
Address: Lot: _________ Sect: __________ Suburb: _________________________
Loan Request K __________________ Purpose of Loan _____________________
Furniture
K ___________________
Repayment offered K _________________________
Monthly
Fortnightly
Motor Vehicle Make: ______________ Year:________
K ___________________
YOUR PERSONAL DETAILS
Registration Number: ___________________ Model: _________________________
Surname:________________________ Given Name(s): ______________________
Bank Account
Branch
Date of Birth: ___/___/___ Marital Status: __________ Ages of Children: ____________
______________________
________________
K ___________________
Full name of spouse: _____________________________ Date of Birth: ___/___/____
______________________
________________
K ___________________
Residential Address _______________________ Date you moved there ___/___/____
Other assets you own (if a property, advice type of residence, village, or lot, section
and suburb)
Who owns this house :
self(provide rate notice)
relatives *
landlord - give details
*Landlord Name: _____________________________________________________
___________________________________________ K ___________________
Landlord Address: ____________________________________________________
___________________________________________ K ___________________
Previous residence: ____________________________ Length of Residency: ______
__
___________________________________________ K ___________________
Name, address, phone number and relationship of nearest relative not living with you
___________________________________________ K ___________________
TOTAL ASSETS
Name:_______________________________________ Relationship: ____________
K ___________________
Phone at work: ______________________ Phone at home: ____________________
LIABILITIES - WHAT YOU OWE
Address: __________________________________________________________
Home Loan From: _______________________________ K ___________________
Email: ____________________________ Mobile: __________________________
Other loans - Name of Lenders
Nasfund or Nambawan Super ID Number ________
___________________________________________ K ___________________
___________________________________________ K ___________________
Current Driver’s License Number
________
( Obtain copy )
(if any)
___________________________________________ K ___________________
CREDIT HISTORY -
CREDIT REFERENCE: PREVIOUS LOANS, FINANCE COMPANIES, STORES ETC.
Rates, Taxes, Credit accounts, etc.
Institution: _________________________________________________________
___________________________________________ K ___________________
Address: ___________________________________________________________
___________________________________________ K ___________________
Institution: _________________________________________________________
Other Debts (Hire Purchase etc.)
Address: ___________________________________________________________
___________________________________________ K ___________________
Attach statements with this application
___________________________________________ K ___________________
Have you ever been bankrupt or had any judgement of legal proceedings against you
TOTAL LIABILITIES
K ___________________
Yes*
No
* Details _________________________________________
MONTHLY INCOME (Attach 3 lastest payslips & bank financial statements)
EMPLOYMENT DETAILS - SELF
Applicants monthly NET income
K ___________________
Occupation: _________________________________________________________
Other monthly income - Give details
Employer Name: ______________________________________________________
___________________________________________ K ___________________
Employer Address: ____________________________________________________
___________________________________________ K ___________________
Phone Number: ______________________ Email: ___________________________
___________________________________________ K ___________________
Date Commenced: ____________________________________________________
___________________________________________ K ___________________
Previous Employer: _________________________________ Years There: _________
TOTAL INCOME PER MONTH
K ___________________
EMPLOYMENT DETAILS - SPOUSE
BUDGET - MONTHLY EXPENDITURE
Occupation: _________________________________________________________
Home Loans __________________________________ K ___________________
Employer Name: ______________________________________________________
Other Loans __________________________________
K ___________________
Employer Address: ____________________________________________________
Motor Vehicle Running Costs ______________________ K ___________________
Phone Number: ______________________ Email: ___________________________
Rent _______________________________________
K ___________________
Date Commenced: ____________________________________________________
Electricity & Phone _____________________________
K ___________________
Previous Employer: ____________________________________________________
Insurance, Rates & Taxes _________________________
K ___________________
Years There: _________________________________________________________
School Fees __________________________________ K ___________________
Wantoks ____________________________________
K ___________________
General Living Expenses _________________________
K ___________________
CREDIT INFORMATION - Authority to Obtain and Provide Personal Financial
and Credit Information
TOTAL EXPENDITURE PER MONTH
K ___________________
K ___________________
NET SURPLUS
The undersigned authorize the Bank South Pacific Limited:
1. to obtain a credit report containing personal financial and credit informaiton in relation
to the undersigned from the Credit Reporting Agency,
2. to utilize the credit report to assist in the assessment of any loan application by the
The details completed are a true and accurate record
undersigned,
3. to exhange personal financial and credit information in relation ot the undersigned with
___________________________________________ ______/______/_______
other credit providers including details of loans obtained from the Bank South Pacific Ltd
and,
Applicant’s Signature
Date
4. to inform the Credit Reporting Agency of any default in the repayment of the credit
___________________________________________ ______/______/_______
provided to the undersigned.
Spouse’s Signature
Date
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