LOAN APPLICATION

Application Date: Account Number:
1. Particulars of Borrower(s) - Individual & Firm
Name & Personal Id or Name of Firm & Incorporation No:
Address & Email Id
[Individual/Firm]
Director Name /ID
[if Firm]
Nationality/DOB/Age
[Individual/Director]
Borrower's Annual Income / Loan Required:
Contact Nos.
[Individual / Firm]: 		HP: Business: Home:

2. Particulars of Surety(ies) - Individual & Firm
Name & Personal Id or Name of Firm & Incorporation No:
Address & Email Id
[Individual/Firm]
Director Name /ID
[if Firm]		 -
Nationality/DOB/Age
[Individual/Director]
Surety's Annual Income / Loan Required:
Contact Nos.
[Individual / Firm]: 		HP: Business: Home:
3. Other Details
a) Type of Loan: for
b) Details of Security[if any]:
4. Declaration

I/We*

declare that, at the time of this loan application, I/we am/are not bankrupt under the Bankruptcy Act (CAP. 20) and the above information given by me/us* are true to the best of my/our* knowledge.

Borrower(s)


Surety(ies)