Loan Application

Name of Applicant:

Address:

Tel No (H):

Tel No (W):

E-Mail:

Nationality:

Place of Birth:

No.of dependents:

Residential Status:

Owner: Rent: With parents:

EMPLOYMENT HISTORY

Employment Status:

Full-time: Part-time: Unemployed: Self Employed:

Credit limit required:

Name of Employer/Business (If retired, list former):

Position held:

Address of Employer:

Length of time employed:

Marital Status:

Gross Monthly Salary:

(Include other sources of income - alimony, child support, etc.)

Monthly Obligations/ Expenses ($)

List your current banker(s)

List the balance of any loans/debts outstanding

Applicant's Signature:

Date:

Co - APPLICANT(s)

Name of Applicant:

Address:

Tel No (H):

Tel No (W):

e-mail:

Nationality:

Place of Birth:

No. of dependents:

Relationship to Applicants:

Place of Birth:

No.of dependents:

Residential Status:

Owner: Rent: With parents:

EMPLOYMENT HISTORY

Employment Status:

Full-time: Part-time: Unemployed: Self Employed:

Credit limit required:

Name of Employer/Business (If retired, list former):

Position held:

Address of Employer:

Length of time employed:

Marital Status:

Gross Monthly Salary:

(Include other sources of income - alimony, child support, etc.)

Monthly Obligations/ Expenses ($)

List your current banker(s)

List the balance of any loans/debts outstanding

Co-applicants's Signature:

Date:

FOR BANK USE ONLY

Credit Limit:

Date Account Opened:

Authorized Signature: