Loan Application Form Page 2

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I hereby confirm that the information provided are true & valid, and declare my full
responsibility and time commitment towards the proposed project, with no correlation to
any other public nor private sector organisation.
______________________________________________________________
Full Name:
: ______________________
___
___
_____
ID
ID Expiry:
/
/20
_________
_____________
______________
Address:
Wilyah:
Village:
GSM:
_________
_____________
_______________
P.O.Box:
P.C:
Other Tel No:
___
Age for individual:
_____________________________________________________________
Profession:
I hereby confirm my commitment to all bank’s rules and undertake to provide all the
necessary documents and securities that are required by the bank.
Full Name:
Signature:
Date:
For Bank Use
The application have been received and reviewed on ___________ and it is complete /
incomplete, the required documents are attached / not attached.
Employee name :
Designation:
Date:

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