Quick cash

Relief is Just a Click Away

loan form

Loan Requirements

Certified ID Copy
- Must be issued within the last 3 months.
Bank Confirmation Letter
- A letter from your bank confirming your account details and status.
6-Month Bank Statement
- Your most recent 6-month bank statement
Latest Pay Slip

I have read and agree, I have all documents

How much do you want?

Loan repayment

Net income per month (after taxes)

Reason for loan application?

Applicant Details

Contract Number

Title

Marital Status

Nationality

Surname

First name

ID number/Passport Number

Contact Details

Telephone No (W)

Telephone No (H)

Telephone No (C)

Postal Address

Physical Address

Employment Details

Employee No

Employer Name

Department

Engagement date

Job Title

Contract End Date

Employment Status

Employer Contact Number

Employer Telephone Number

Employer Job Title

Banking Details

Bank Name

Account Name

Branch Name

Account Number

Branch Code

Next Of Kin

Next Of Kin (1)

Surname

First Name

Phone/Mobile

Next Of Kin (2 Optionally)

Surname

First Name

Phone/Mobile

Next Of Kin (3 Optionally)

Surname

First Name

Phone/Mobile

Surname

First Name

Phone/Mobile

Debit Order Instruction

Account Name

Bank Name

Bank Account Number

Account Type

Branch Name

Branch code

I have read and authorized the Debit Authorization

Documents

Copy of ID/Passport

Choose File

6 months bank statement

Choose File

Latest payslip

Choose File

Utility bill or any proof of address

Choose File

I have read and agree to the Credit Check Policy

I have read and agree to the Terms and Conditions and Privacy Policy